AMANDA B BRADLEY (NPI# 1669623740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669623740 |
Entity Type | Individual |
Full Name | AMANDA B BRADLEY |
Credential | ACNP, FNP |
Practice Address |
5201 Harry Hines Blvd Dallas TX 75235-7708 |
Mailing Address |
2558 Middleton Dr Frisco TX 75033-7307 |
Practice Telephone | 2145907204 |
Mailing Telephone | (214) 938-6577 |
Enumeration Date | 2008-10-07 |
Last Update Date | 2017-10-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
705739 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 198106003 | 05 | |
TX | 198106006 | 05 | |
TX | 198106007 | 05 | |
TX | 198106002 | 05 | |
TX | 198106005 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780003079 | Amanda Bradley | Behavioral Analyst | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2014-04-15 |
1609213818 | Amanda Nirah Bradley | Counselor | 8915 Sw Center St Tigard, Tigard, OR 97223 | 2013-05-29 |
1326698283 | Amanda Jo Bradley | Nurse's Aide | Kayenta Health Center, Us Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-09-12 |
1194387035 | Amanda Bradley | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2019-07-01 |
1710450531 | Amanda Bradley | Nurse Practitioner | 1717 6th Ave S, Birmingham, AL 35233-1801 | 2019-01-03 |
1811498751 | Amanda Bradley | Licensed Vocational Nurse | 3330 Fannin St, Beaumont, TX 77701-3801 | 2018-02-26 |
1639572126 | Amanda Bradley | Counselor | 18750 N 6750 E, Mount Pleasant, UT 84647-2309 | 2014-09-29 |
1679976286 | Amanda Bradley | Pharmacist | 2125 Cloverdale Ave, Winston Salem, NC 27103-2506 | 2014-09-28 |
1851534606 | Amanda Bradley | Nurse Practitioner | 207 Elk Ave S, Fayetteville, TN 37334-3051 | 2009-04-09 |
1801035498 | Amanda Lee Bradley | Counselor | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2009-02-05 |
Street Address |
5201 HARRY HINES BLVD |
City | DALLAS |
State | TX |
Zip Code | 75235-7708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922004449 | Polly Bennett Cordova | Advanced Practice Midwife | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2005-06-21 |
1316580368 | Natashea Lewis | Nurse Practitioner | 5201 Harry Hines Blvd, Dallas, TX 75235-7793 | 2019-10-22 |
1386285328 | Eva Kirara | Registered Nurse | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-10-01 |
1003467879 | Sunny Akwo Makolo | Nurse Practitioner | 5201 Harry Hines Blvd, Dallas, TX 75235-7793 | 2019-09-24 |
1396303236 | Alexandra D'oto | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-06-05 |
1154883072 | Patrick Ahern | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-04-01 |
1609337153 | Gianpaolo Carpinito | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2019-03-27 |
1104397827 | Danielle Theresa Brown | Physical Therapist | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2018-12-06 |
1992274948 | Carol Chamberlain | Pharmacist | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2018-11-20 |
1730657875 | Paul Tran | Pharmacist | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2018-11-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
Find all providers in zip 75235 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669083077 | Renee Mieselle Lies | Nurse Practitioner | 2602 Mckinney Ave Ste 115, Dallas, TX 75204-0727 | 2020-08-11 |
1518592534 | Raven Aravind | Nurse Practitioner | 1900 Caddo Street, Number 4, Dallas, TX 75204-4223 | 2020-03-10 |
1366090417 | Maria Whitney Nance | Nurse Practitioner | 7777 Forest Ln Ste D308, Dallas, TX 75230-2571 | 2019-09-02 |
1336708361 | Sunny Dedmon | Nurse Practitioner | 3225 Turtle Creek Blvd Apt 520, Dallas, TX 75219-5461 | 2019-06-12 |
1306401419 | Quatina Lasha Rivers-fleming | Nurse Practitioner | 522 Ivy Chase Loop, Dallas, GA 30157-0946 | 2019-05-03 |
1679136220 | Marvise Ijeoma Oduagu | Nurse Practitioner | 305 W Commerce St Apt 336, Dallas, TX 75208-1985 | 2019-04-19 |
1851860365 | Yoon Jung Ra | Nurse Practitioner | 2610 Allen St Apt 5410, Dallas, TX 75204-2447 | 2018-11-14 |
1134696453 | Mitchell Grayson Kelly | Nurse Practitioner | 5323 Harry Hines Blvd Mailcode 8590, Dallas, TX 75390-0001 | 2018-10-24 |
1710411822 | Latosca Brunner | Nurse Practitioner | 221 W Beckley Blvd, Pavilion 2 Suite 929, Dallas, TX 75202 | 2017-04-14 |
1376900746 | Lashandra Gray | Nurse Practitioner | 9111 Prairie Bluff Dr, Dallas, TX 75227-5245 | 2016-01-15 |
Find all providers in DALLAS |
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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.