ROBERT BRADLEY (NPI# 1578183968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578183968 |
| Entity Type | Individual |
| Full Name | ROBERT BRADLEY |
| Credential | APRN-CNP |
| Practice Address |
525 S Schwartz Ave Farmington NM 87401-5955 |
| Mailing Address |
3701 Sierra Vista Dr Farmington NM 87402-8356 |
| Practice Telephone | 5056092000 |
| Mailing Telephone | 4055745715 |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2020-04-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 53-78499-102 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | KANSAS STATE BOARD OF NURSING | 53-78499-102 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164085544 | Robert Bradley | Acupuncturist | 3405 Lewiston Rd Ste E, Greensboro, NC 27410-9827 | 2019-04-21 |
| 1477009074 | Robert Bradley | Specialist | 1609 E Palmdale Blvd Ste E, Palmdale, CA 93550-4881 | 2016-09-01 |
| 1053676205 | Robert Littleton Bradley | Specialist/Technologist | 23 Border Ave, Simpsonville, SC 29680-7387 | 2012-07-12 |
| 1508173220 | Robert J Bradley | Massage Therapist | 2901 W Busch Blvd Ste 407, Tampa, FL 33618-4566 | 2010-09-01 |
| 1770604936 | Robert Bradley | Dentist | 138 Junction Rd, Madison, WI 53717-2687 | 2007-04-03 |
| 1639297633 | Robert Frederick Bradley | Dentist | 1614 W Lafayette, Jacksonville, IL 62650-0000 | 2007-03-27 |
| 1386714079 | Robert Ray Bradley Jr. | Social Worker | 751 Thimble Shoals Blvd, Suite K, Newport News, VA 23606-3563 | 2006-11-09 |
| 1689603094 | Robert Graydon Bradley | Specialist | 7502 State Road, Suite 1180, Cincinnati, OH 45255-2800 | 2006-06-30 |
| 1164401287 | Robert Andrew Bradley | Pathology | 235 S Church St, Athens, GA 30605-1054 | 2006-01-17 |
| 1619969003 | Robert Wayne Bradley | Specialist | 2692 W Walnut St, Suite 105, Garland, TX 75042-6474 | 2005-08-22 |
| Street Address |
525 S SCHWARTZ AVE |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811915234 | San Juan Regional Medical Center Inc | Physical Medicine & Rehabilitation | 525 S Schwartz Ave, Farmington, NM 87401-5955 | 2006-07-17 |
| 1326663592 | San Juan Regional Medical Center Inc | Rehabilitation Unit | 525 S Schwartz Ave, Farmington, NM 87401-5955 | 2020-06-12 |
| 1588212187 | Pamela Bernice Balfour | Social Worker | 525 S Schwartz Ave, Farmington, NM 87401-5955 | 2019-08-28 |
| 1487967220 | Christina Ylva Franklin | Physical Therapist | 525 S Schwartz Ave, Farmington, NM 87401-5955 | 2010-07-22 |
| 1811036858 | Ena Marie Niemand | Occupational Therapist | 525 S Schwartz Ave, Farmington, NM 87401-5955 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699252270 | Holly Welch | Nurse Practitioner | 2300 E 30th St Ste B-106, Farmington, NM 87401-8991 | 2018-07-26 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1861915282 | Jesmi K Stanislavose | Nurse Practitioner | 18 Two Mile Rd, Farmington, CT 06032-2513 | 2017-07-18 |
| 1801265731 | Loc Nguyen | Nurse Practitioner | 316 Nh-11, Farmington, NH 03835 | 2015-09-22 |
| 1922256775 | Candy Sue Johnson | Nurse Practitioner | 158 E Fulton St, Farmington, IL 61531-1227 | 2008-09-05 |
| 1821106345 | Nancy J Crouse | Nurse Practitioner | 601 E Fort St, Farmington, IL 61531-1338 | 2006-08-25 |
| 1316053028 | Gina Heberlie | Nurse Practitioner | 508 W Pine St, Farmington, MO 63640-1426 | 2006-08-23 |
| 1548257090 | Peter A Ford | Nurse Practitioner | 11 South Rd Ste 130, Farmington, CT 06032-2483 | 2005-09-30 |
| 1700483930 | Sarah Jane Gadd | Nurse Practitioner | 991 Shepard Ln Ste 200, Farmington, UT 84025-2974 | 2020-10-01 |
| 1225661556 | Jesse Alexander Keele | Nurse Practitioner | 2930 E Main St, Farmington, NM 87402-7624 | 2020-02-14 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.