AMANDA L BRADBURY (NPI# 1639406341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639406341 |
| Entity Type | Individual |
| Full Name | AMANDA L BRADBURY |
| Practice Address |
701 W Lamm Rd Freeport IL 61032-9630 |
| Practice Telephone | 8152336162 |
| Mailing Telephone | 8152336162 |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255723193 | Amanda Bradbury | Pharmacist | 8634 Highway 58, Harrison, TN 37341-3910 | 2015-03-02 |
| 1104164714 | Amanda Marie Bradbury | Physician Assistant | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2013-01-17 |
| Street Address |
701 W LAMM RD |
| City | FREEPORT |
| State | IL |
| Zip Code | 61032-9630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285838458 | Judy Ann Strey | Speech-Language Pathologist | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2007-06-12 |
| 1225544901 | Gloria Ann Ennenbach | Registered Nurse | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2017-12-18 |
| 1881100600 | Willowglen Academy Illinois | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2017-12-15 |
| 1215441050 | Willowglen Academy-illinois Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2017-11-30 |
| 1548703887 | Ervin Wainwright | Social Worker | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2016-11-18 |
| 1932641164 | Erik Walton | Social Worker | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2016-11-04 |
| 1558803783 | Antoinette Harvey | Social Worker | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2016-11-04 |
| 1740732908 | Martrice Collier | Social Worker | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2016-11-03 |
| 1184176448 | Roland Emeka Aguocha | Social Worker | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2016-11-02 |
| 1194277541 | Carrie Snow | Counselor | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2016-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1487168373 | Lindsey Rae Harris-baker | Speech-Language Pathologist | 1802 W Laurel St, Freeport, IL 61032 | 2017-11-30 |
| 1861871246 | Pearl Pavilion LLC | Skilled Nursing Facility | 910 Kiwanis Drive, Freeport, IL 61032 | 2015-05-19 |
| 1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
| 1700135803 | April Braband | Specialist | 421 Exchange, Freeport, IL 61032 | 2012-09-05 |
| 1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
| Find all providers in zip 61032 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942658307 | Lizel Robinson Robinson | Case Manager/Care Coordinator | 105 Harrison Ave, Freeport, NY 11520-2407 | 2016-05-26 |
| 1285020651 | Dana Underhill | Case Manager/Care Coordinator | 712 Towne Dr, Freeport, IL 61032-4441 | 2015-04-12 |
| 1639592470 | Customized Employment Solutions | Case Manager/Care Coordinator | 4 East St, Freeport, ME 04032-1406 | 2014-01-30 |
| 1679867600 | Amy Christine Schnoor | Case Manager/Care Coordinator | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2011-06-07 |
| 1275822017 | Casandra Rae Tipton | Case Manager/Care Coordinator | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2011-04-01 |
| 1811224769 | Jessica Liebenstein | Case Manager/Care Coordinator | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2009-11-13 |
| 1366679243 | Allan White | Case Manager/Care Coordinator | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2009-06-17 |
| 1245472315 | Ramona Michelle Stinnett | Case Manager/Care Coordinator | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2009-04-03 |
| 1831331115 | Laura Ann Anderson | Case Manager/Care Coordinator | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2009-04-01 |
| 1407044142 | Lannie Wagner | Case Manager/Care Coordinator | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2007-10-09 |
| Find all providers in FREEPORT | ||||
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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.