RYAN BRADSHAW


Address: 3406 Glacier Hwy, Juneau, AK 99801-7251
Phone: 9074633303

RYAN BRADSHAW (NPI# 1649814849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649814849
Entity Type Individual
Full Name RYAN BRADSHAW
Practice Address 3406 Glacier Hwy
Juneau
AK 99801-7251
Practice Telephone 9074633303
Practice Fax Number 9074636858
Mailing Telephone 9074633303
Mailing Fax Number 9074636858
Enumeration Date 2019-10-30
Last Update Date 2019-10-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 3406 GLACIER HWY
City JUNEAU
State AK
Zip Code 99801-7251

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720126626 Juneau Alliance for Mental Health, Inc Community/Behavioral Health 3406 Glacier Hwy, Juneau, AK 99801-9501 2007-02-02
1528696622 Rene Macdonald Licensed Practical Nurse 3406 Glacier Hwy, Juneau, AK 99801-7251 2020-04-01
1669000766 Nicole Ashley Counselor 3406 Glacier Hwy, Juneau, AK 99801-7251 2020-04-01
1992333090 Michael Graney Counselor 3406 Glacier Hwy, Juneau, AK 99801-7251 2020-04-01
1669000758 Demaris Oxman Counselor 3406 Glacier Hwy, Juneau, AK 99801-7251 2020-04-01
1174151252 Stephanie Gish Counselor 3406 Glacier Hwy, Juneau, AK 99801-7251 2020-04-01
1104466101 Jessica Spurrier Social Worker 3406 Glacier Hwy, Juneau, AK 99801-7251 2020-01-08
1376187575 Andrew Conteh Technician, Other 3406 Glacier Hwy, Juneau, AK 99801-7251 2019-10-30
1548810831 Frederick Yates Counselor 3406 Glacier Hwy, Juneau, AK 99801-7251 2019-09-18
1922653542 Bridget Kuhar Counselor 3406 Glacier Hwy, Juneau, AK 99801-7251 2019-08-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225652407 Juneau Youth Services, Inc. Community/Behavioral Health 1600 Renninger St, Juneau, AK 99801 2020-06-03
1316561590 Juneau Youth Services, Inc. Community/Behavioral Health 2901 Riverside Dr, Juneau, AK 99801 2020-06-03
1366066540 Juneau Youth Services, Inc. Community/Behavioral Health 3400 Tongass Blvd, Juneau, AK 99801 2020-06-03
1134743313 Juneau Youth Services, Inc. Community/Behavioral Health 3800 Mendenhall Lp Rd, Juneau, AK 99801 2020-06-03
1235753419 Juneau Youth Services, Inc. Community/Behavioral Health 9001 Mendenhall Lp Rd, Juneau, AK 99801 2020-06-03
1043834245 Juneau Youth Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 10685 Mendenhall Loop Rd, Juneau, AK 99801 2020-06-03
1295359511 Juneau Youth Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 10801 Black Bear Rd, Juneau, AK 99801 2020-06-02
1700400033 Juneau Youth Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 10685 Mendenhall Lp Rd, Juneau, AK 99801 2020-06-02
1831733351 Monalisa Vaolete Lauofo Counselor 5594 Aisek Street, Juneau, AK 99801 2019-10-29
1245873033 Ryan Isadore Counselor 1613 Anka Street, Juneau, AK 99801 2019-10-24
Find all providers in zip 99801

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730723156 John B. Henley IIi Peer Specialist 5594 Aisek Street, Juneau, AK 99801 2019-10-29
1912568478 William Musser Peer Specialist 3406 Glacier Hwy, Juneau, AK 99801-7251 2019-06-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851998223 Patricia Main Peer Specialist 2601 W 34th Ave Apt 7, Anchorage, AK 99517-2142 2020-10-07
1215552526 Joshua Dee Engle Peer Specialist 1419 S Kittiwake St, Wasilla, AK 99623-9302 2020-06-11
1659995884 Amy M Lowe Peer Specialist 1363 W Spuce Ave, Wasilla, AK 99654 2020-06-03
1699399303 Jennifer Benton Peer Specialist 11932 Town Park Cir, Eagle River, AK 99577-7788 2020-05-29
1104449800 Aubrey Danielle Cave Peer Specialist 5752 W Kranberry Ln, Wasilla, AK 99623-1050 2020-05-28
1811534803 Colleen H Ward-wilson Peer Specialist 3600 San Jeronimo Dr Ste 300, Anchorage, AK 99508-2870 2019-12-09
1538701222 Betty Jo Shepherd-hebb Peer Specialist 4110 Debarr Rd Spc G17, Anchorage, AK 99508-3176 2019-10-14
1629610563 Mikko Joseph Barribeau Peer Specialist 2762 N Azurite Cir, Wasilla, AK 99654-4540 2019-10-11
1194366088 Matalena Suitupe Lokeni Peer Specialist 7650 Mayfair Dr Apt C, Anchorage, AK 99502-7212 2019-10-02
1285280784 Zoe Dixon Peer Specialist 15765 Kingsley Rd, Ninilchik, AK 99639 2019-08-12
Find all providers with the same taxonomy

Competitor

Search similar providers

City JUNEAU
Zip Code 99801

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Dataset Information

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.

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