TARA B BRADLEY (NPI# 1720353246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720353246 |
| Entity Type | Individual |
| Full Name | TARA B BRADLEY |
| Credential | MS, CCC-SLP |
| Practice Address |
5045 Carpenter Creek Dr Pensacola FL 32503-2521 |
| Practice Telephone | 8504164681 |
| Practice Fax Number | 8504167776 |
| Mailing Telephone | 8504164681 |
| Mailing Fax Number | 8504167776 |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 3291 | AL | Speech, Language and Hearing Service Providers |
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | ASHA CERTIFICATION | 12140764 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144758384 | Tara H Bradley | Social Worker | 2100 County Services Dr, Pelham, AL 35124-6150 | 2017-06-01 |
| 1164732756 | Tara Bradley | Occupational Therapist | 30412 Esperanza, Rancho Santa Margarita, CA 92688 | 2010-10-15 |
| Street Address |
5045 CARPENTER CREEK DR |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760471239 | Suzanne Yancey Bush | Obstetrics & Gynecology | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2005-10-18 |
| 1699230508 | Melissa Greenspan | Nurse Practitioner | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2019-02-05 |
| 1649798315 | Megan Suzanne Voss | Nurse Practitioner | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2017-09-01 |
| 1609390897 | Caroline Page | Behavioral Analyst | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2017-07-28 |
| 1316460116 | Alicia Rene Hunter | Behavioral Analyst | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2017-07-24 |
| 1376917658 | Jamia Akins Felder | Occupational Therapist | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2015-11-24 |
| 1659741460 | Nathalie Pocrain-giberson | Behavioral Analyst | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2015-10-06 |
| 1588047484 | Shalini Golla | Student in an Organized Health Care Education/Training Program | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2015-07-09 |
| 1457732612 | Tabata Bahiense Grodin | Obstetrics & Gynecology | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2015-06-13 |
| 1780079541 | Jennifer Benz Findley | Behavioral Analyst | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2015-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113926 | Jennifer Messer | Speech-Language Pathologist | 7830 Pine Forest Rd, Pensacola, FL 32526-8404 | 2020-08-05 |
| 1760007314 | April Wade Pope | Speech-Language Pathologist | 542 Northcreek Dr, Pensacola, FL 32514-9523 | 2020-06-10 |
| 1518512532 | Kristin E. Schultz | Speech-Language Pathologist | 874 Upham Ct, Pensacola, FL 32508-1016 | 2019-08-06 |
| 1245899327 | Elizabeth Jewel Jones | Speech-Language Pathologist | 1290 E Nine Mile Rd, Pensacola, FL 32514-1653 | 2019-06-11 |
| 1285155812 | Megan Beasley | Speech-Language Pathologist | 1717 N E St Ste 236, Pensacola, FL 32501-6390 | 2017-07-05 |
| 1922451319 | Brianne Lee Salzman | Speech-Language Pathologist | 5500 Navaho Dr, Pensacola, FL 32507-8742 | 2016-07-20 |
| 1265883565 | Pamela Kay Windham | Speech-Language Pathologist | 16301 N Shore Dr, Pensacola, FL 32507-8373 | 2016-06-28 |
| 1427407352 | Tamara Bidstrup | Speech-Language Pathologist | 101 E Romana St Apt 406, Pensacola, FL 32502-5861 | 2016-06-10 |
| 1104288034 | Matthew Tisdale | Speech-Language Pathologist | 636 Silvershore Dr, Pensacola, FL 32507-3345 | 2016-03-21 |
| 1821455874 | Melissa Simmons | Speech-Language Pathologist | 1355 Pinnacle Dr Apt A, Pensacola, FL 32504-8081 | 2016-01-21 |
| Find all providers in PENSACOLA | ||||
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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.