JULIA C BRADBURY (NPI# 1700122306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700122306 |
| Entity Type | Individual |
| Full Name | JULIA C BRADBURY |
| Other Name | JULIA C THEIS |
| Credential | APRN |
| Practice Address |
501 Assembly Ln Paola KS 66071-1854 |
| Mailing Address |
36123 Schoolcraft Rd Livonia MI 48150-1216 |
| Practice Telephone | 9136601616 |
| Mailing Telephone | 9136601616 |
| Mailing Fax Number | 9136601664 |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2013001303 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5375786061 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10540 Marty St, Suite 100, Overland Park, KS 662122551 | 9136601616 | 9136601664 |
| Street Address |
501 ASSEMBLY LN |
| City | PAOLA |
| State | KS |
| Zip Code | 66071-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417045139 | Medicalodges, Inc. | Skilled Nursing Facility | 501 Assembly Ln, Paola, KS 66071-1854 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891235032 | Erin Poe | Pharmacist | 311 N. Hospital Dr., Paola, KS 66071 | 2017-03-07 |
| 1902052871 | Travis L Howard | Dentist | 1610 Willis Court, Paola, KS 66071 | 2008-08-12 |
| 1114139870 | Agape, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16046 W 343rd St, Paola, KS 66071 | 2007-05-04 |
| 1497978373 | County of Miami | Public Health or Welfare | 1201 Lakemary Drive, Paola, KS 66071 | 2007-04-10 |
| 1629192356 | Maria Elaine Heid | Speech-Language Pathologist | 2103 Lakeview Drive, Paola, KS 66071 | 2007-03-19 |
| 1356408736 | Douglas Mark Slawson | Dentist | 22 South Silver, Paola, KS 66071 | 2007-01-03 |
| 1811089295 | Sanders Family Dentistry | Dentist | 28 W Peoria, Paola, KS 66071 | 2006-09-29 |
| 1043263767 | Shana E Pedrow | Nurse Practitioner | 2102 Baptiste Drive, Paola, KS 66071 | 2006-05-17 |
| 1801867510 | College Boulevard Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 2100 Baptiste Dr, Paola, KS 66071 | 2006-01-30 |
| 1235109950 | Jaclyn Dean Voight | Nurse Anesthetist, Certified Registered | 2100 Baptiste, Paola, KS 66071 | 2006-01-25 |
| Find all providers in zip 66071 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700401163 | Caroline Etok Elad | Nurse Practitioner | 904 E Hamline St, Garden City, KS 67846-3429 | 2020-06-11 |
| 1417583584 | Ann Ncekei Wairagu | Nurse Practitioner | 347 S Laura Ave, Wichita, KS 67211-1518 | 2020-03-20 |
| 1407480130 | Paige Marie Budzinski | Nurse Practitioner | 5100 W 110th St, Overland Park, KS 66211-1215 | 2020-03-03 |
| 1396209201 | David Andrew Campbell | Nurse Practitioner | 421 Muncie Ter, Leavenworth, KS 66048-5025 | 2019-01-24 |
| 1376012849 | Laura Elizabeth Fulbrook | Nurse Practitioner | 1358 S Sierra Hills St, Wichita, KS 67230-7548 | 2018-11-14 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1013494467 | Andrea Stafford | Nurse Practitioner | 1491 N Coolidge Ave, Wichita, KS 67203-2982 | 2018-07-27 |
| 1710478672 | Faith Obiero | Nurse Practitioner | 425 E 61st St N Ste 2, Park City, KS 67219 | 2018-05-25 |
| 1629578943 | Katherine Danielle Egnoske | Nurse Practitioner | 601 Sw Corporate Vw Ste 100, Topeka, KS 66615-1245 | 2018-02-13 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| Find all providers with the same taxonomy | ||||
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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.