MS. TAMMY JO BRADFORD (NPI# 1730265356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730265356 |
| Entity Type | Individual |
| Full Name | MS. TAMMY JO BRADFORD |
| Credential | CNS |
| Practice Address |
5251 S East St Ste 25b Indianapolis IN 46227-2061 |
| Mailing Address |
192 N Avon Ave Ste 300 Avon IN 46123-9513 |
| Practice Telephone | 3174267446 |
| Practice Fax Number | 3173448289 |
| Mailing Telephone | 3176276400 |
| Mailing Fax Number | 3317640324 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2019-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
70000195A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
2005027616 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
RN221074 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5251 S East St Ste 25b, Indianapolis, IN 462272061 | 3174267446 | 3173448289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801237771 | Tammy Lynn Bradford | Nurse Practitioner | 425 University Blvd, Round Rock, TX 78665-1053 | 2013-07-08 |
| 1386615367 | Tammy Chism Bradford | Nurse Practitioner | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2006-01-30 |
| Street Address |
5251 S EAST ST STE 25B |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-2061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444775 | Anu Abraham Ade Owofadeju | Nurse Practitioner | 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064 | 2020-07-21 |
| 1356959068 | Indy Behavioral Health LLC | Nurse Practitioner | 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 | 2020-07-20 |
| 1376184556 | Carrie Mefford | Nurse Practitioner | 5435 E 16th St, Indianapolis, IN 46218-4869 | 2019-09-30 |
| 1124599394 | Adria Dawn Thornburgh | Nurse Practitioner | 6235 Forest View Dr, Indianapolis, IN 46260-4707 | 2018-12-16 |
| 1033693213 | Katie Marie Feeney | Nurse Practitioner | Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2018-09-24 |
| 1912453937 | Andrew J Slaton | Nurse Practitioner | 1503 N Mitthoeffer Rd, Indianapolis, IN 46229-2425 | 2016-08-30 |
| 1528487659 | Elise S Montoya | Nurse Practitioner | 9106 North Meridian Street, Suite 100, Indianapolis, IN 46260 | 2014-04-16 |
| 1982046587 | Hillary A House | Nurse Practitioner | 2040 North Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2013-07-24 |
| 1982936175 | Krista Schwuchow | Nurse Practitioner | 3403 E Raymond St, Indianapolis, IN 46203-4744 | 2010-02-12 |
| 1538110184 | Susan Marie Reul | Nurse Practitioner | 222 E Ohio St, Wulsin Bldg 7th Floor, Indianapolis, IN 46204-2193 | 2006-05-16 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
Please comment or provide details below to improve the information on MS. TAMMY JO BRADFORD.
| 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.