CASANDRA BRADLEY (NPI# 1679196885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679196885 |
| Entity Type | Individual |
| Full Name | CASANDRA BRADLEY |
| Practice Address |
9846 Highway 31 E Tyler TX 75705-2329 |
| Practice Telephone | 9035253714 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 142224 | TX | Nursing Service Providers |
| Street Address |
9846 HIGHWAY 31 E |
| City | TYLER |
| State | TX |
| Zip Code | 75705-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952937138 | Ashley Keeter | Registered Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-03-19 |
| 1043832124 | Donna Penny | Licensed Vocational Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-05-12 |
| 1497376933 | Tracey Beazley | Spec/Tech, Pathology | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-05-06 |
| 1417578352 | Tamekia Day | Registered Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-05-01 |
| 1366063281 | Carolyn Hampton | Licensed Vocational Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-05-01 |
| 1366061756 | Jaclyn Wilson | Licensed Vocational Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-04-15 |
| 1326675877 | Mariafe Pagne | Licensed Vocational Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-03-25 |
| 1891322566 | Megan Kimmel | Occupational Therapist | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-03-24 |
| 1548896459 | Yetunde Dumbiri | Licensed Vocational Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-03-23 |
| 1053946475 | Kylie Melillo | Occupational Therapy Assistant | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326561010 | Susan Kemp | Occupational Therapist | 9846 State Hywy 31e, Tyler, TX 75705 | 2017-07-25 |
| 1629383849 | Melissa Hampton | Home Health Aide | 400 F M Road 757, Tyler, TX 75705 | 2010-08-12 |
| 1902026446 | Red Bird Manor LLC | Assisted Living Facility | 956 Fm Rd 757, Tyler, TX 75705 | 2007-04-26 |
| 1821079187 | Kinsman Enterprises, Inc. | Home Health | 3218 N 4th St, Longview, TX 75705 | 2005-11-12 |
| 1528538485 | Sophia Olewunne | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705 | 2018-12-04 |
| 1487138269 | Ericka Gordon | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705 | 2018-09-18 |
| 1831679430 | Kimberly Willhite | Home Health Aide | 9846 Hwy 31 E, Tyler, TX 75705 | 2018-08-14 |
| 1174866461 | Leslie L Isaacs | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2013-04-04 |
| 1235278813 | Bienville Holdings, Ltd | Home Health | 9846 State Highway 31 E, Tyler, TX 75705-2329 | 2007-02-06 |
| 1285235838 | Brenda Duong | Occupational Therapist | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-11-02 |
| Find all providers in zip 75705 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808522 | Ivie Massie | Licensed Vocational Nurse | 7101 Waljim St Apt 101, Tyler, TX 75703-4904 | 2020-10-15 |
| 1659978120 | Krescenda Bircher | Licensed Vocational Nurse | 641 Spencer Ln, Tyler, TX 75704-6667 | 2020-10-07 |
| 1932706157 | Pliar Nicole Roland | Licensed Vocational Nurse | 3201 Carter Blvd E, Tyler, TX 75702-1116 | 2020-10-01 |
| 1174130124 | Toni Ruth Quezada | Licensed Vocational Nurse | 11567 19th Ave, Tyler, TX 75708-3205 | 2020-09-24 |
| 1790399467 | Ashaunti Ahmee Njie | Licensed Vocational Nurse | 12418 Kara Lynn Pl, Tyler, TX 75704-8708 | 2020-09-01 |
| 1528671476 | Curnifa Fredrica Harris | Licensed Vocational Nurse | 5100 Sweetbriar Ln Apt 217, Tyler, TX 75703-3847 | 2020-08-28 |
| 1063023935 | Shanika Lanell Grant | Licensed Vocational Nurse | 134 Patton Ln, Tyler, TX 75704-2004 | 2020-08-13 |
| 1891303715 | Jayla Michelle Ward | Licensed Vocational Nurse | 2815 Pollard Dr, Tyler, TX 75701-7112 | 2020-07-16 |
| 1194342410 | Shanequia Dianne Flowers | Licensed Vocational Nurse | 404 Lemay Dr, Tyler, TX 75704-2031 | 2020-07-02 |
| 1750908398 | Quanisha Hicks | Licensed Vocational Nurse | 1717 Shiloh Rd Apt 260, Tyler, TX 75703-2454 | 2020-06-30 |
| Find all providers in TYLER | ||||
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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.