CRYSTAL BRADLEY (NPI# 1770943730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770943730 |
| Entity Type | Individual |
| Full Name | CRYSTAL BRADLEY |
| Practice Address |
1 Barnes Hospital Plz Saint Louis MO 63110-1003 |
| Practice Telephone | 3142157388 |
| Mailing Telephone | 3142157388 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2009025865 | MO | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205470135 | Crystal Bradley | Social Worker | 24 Seals Dr, Monroe, NY 10950-3949 | 2019-11-04 |
| 1316126659 | Crystal Marie Bradley | Counselor | 315 Hudson St Fl 2, New York, NY 10013-1040 | 2007-11-02 |
| 1306447263 | Crystal Bradley | Nurse Practitioner | 9447 Holy Cross Ln, Breese, IL 62230-3510 | 2020-11-05 |
| 1578024188 | Crystal Sweeting Bradley | Nurse Practitioner | 5656 Kelley St, Houston, TX 77026-1967 | 2019-03-27 |
| 1134456080 | Crystal Renee Bradley | Pharmacist | 5049 Preston Rd, Frisco, TX 75034-7401 | 2009-11-13 |
| Street Address |
1 BARNES HOSPITAL PLZ |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245402379 | Tim Jenkins, Lcsw | Social Worker | 1 Barnes Hospital Plz, Suite 16428, Saint Louis, MO 63110-1003 | 2008-03-28 |
| 1669094900 | Courtney A Bequette | Registered Nurse | 1 Barnes Hospital Plz, Saint Louis, MO 63110-1003 | 2020-05-09 |
| 1053771931 | Karen Mcdoniel | Dietitian, Registered | 1 Barnes Hospital Plz, Saint Louis, MO 63110-1003 | 2016-03-04 |
| 1609236751 | Lisa Mehringer | Dietitian, Registered | 1 Barnes Hospital Plz, Saint Louis, MO 63110-1003 | 2016-03-02 |
| 1467826305 | Lisa Marie Burns | Registered Nurse | 1 Barnes Hospital Plz, Saint Louis, MO 63110-1003 | 2015-11-16 |
| 1700295037 | Geralyn Erckmann | Nurse Practitioner | 1 Barnes Hospital Plz, Saint Louis, MO 63110-1003 | 2014-08-12 |
| 1366686891 | Ericka Michelle Shelton | Registered Nurse | 1 Barnes Hospital Plz, Saint Louis, MO 63110-1003 | 2009-04-28 |
| 1508022823 | Washington University | Emergency Medicine | 1 Barnes Hospital Plz, Saint Louis, MO 63110-1003 | 2008-08-06 |
| 1255599429 | Sarah E Kozak | Nurse Practitioner | 1 Barnes Hospital Plz, Mailstop90-00-073, Saint Louis, MO 63110-1003 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080550 | Abigail Wozniak | Dietitian, Registered | 4057 Flad Ave, Saint Louis, MO 63110-3924 | 2020-10-13 |
| 1033717962 | Jon Kuanfung | Dietitian, Registered | 1210 S Boyle Ave, Saint Louis, MO 63110-3814 | 2020-10-13 |
| 1063025153 | Macia Noorman | Dietitian, Registered | 2336 S Grand Blvd, Saint Louis, MO 63104-1755 | 2020-08-28 |
| 1447863865 | Serena E Mcphail | Dietitian, Registered | 3959a Potomac St, Saint Louis, MO 63116-3703 | 2020-08-25 |
| 1700496486 | Jennifer Ann Stripling | Dietitian, Registered | 12417 Dunedin Ln Apt 101, Saint Louis, MO 63146-2823 | 2020-08-06 |
| 1528677119 | Colleen E Madden | Dietitian, Registered | 5528 Pershing Ave Apt 205, Saint Louis, MO 63112-1769 | 2020-07-29 |
| 1043836315 | Abigail Debera Hallmark | Dietitian, Registered | 3510 Wyoming St Apt A, Saint Louis, MO 63118-2021 | 2020-06-22 |
| 1275163511 | Laura M Cusumano | Dietitian, Registered | 32 Oak Park Dr, Saint Louis, MO 63141-8428 | 2020-01-24 |
| 1689216871 | Healthy Bytes Solutions LLC | Dietitian, Registered | 20 S Sarah St, Saint Louis, MO 63108-2819 | 2019-10-09 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on CRYSTAL BRADLEY.
| 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.