DR. KATIE ELIZABETH BRADFORD (NPI# 1790040616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790040616 |
| Entity Type | Individual |
| Full Name | DR. KATIE ELIZABETH BRADFORD |
| Other Name | DR. KATIE ELIZABETH WOLZ |
| Credential | DDS |
| Practice Address |
139 Rose Garden Ln Goodlettsville TN 37072-3164 |
| Practice Telephone | 5732753143 |
| Mailing Telephone | 5732753143 |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2016-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
10221 | TN | Dental Providers |
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
10221 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184793747 | Katie Bradford | Dietitian, Registered | 418 Farms Dr, Burlington, MA 01803-3744 | 2006-11-07 |
| Street Address |
139 ROSE GARDEN LN |
| City | GOODLETTSVILLE |
| State | TN |
| Zip Code | 37072-3164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336651140 | Listen Hear LLC | Hearing Aid Equipment | 758 Rivergate Pkwy, Goodlettsville, TN 37072 | 2017-11-02 |
| 1023551140 | Joshua Shallcross | Physical Therapy Assistant | 2182 Gallatin Pike North, Goodlettsville, TN 37072 | 2016-11-21 |
| 1578858924 | Joy R Grimes | Nurse Practitioner | 913 Conference Dr Ste 103, Goodlettsville, TN 37072 | 2011-06-14 |
| 1558552620 | Integrative Health Community | Specialist | 400 Professional Park Dr., Suite 201, Goodlettsville, TN 37072 | 2007-08-05 |
| 1669662573 | Lisa Kathryn Spencer | Physical Therapist | 813 South Dickerson Road, Goodletsville, TN 37072 | 2007-07-26 |
| 1760684799 | Counseling Services of Middle Tn, LLC | Social Worker | 420 North Main St, Goodlettsville, TN 37072 | 2007-06-01 |
| 1881818649 | Alejandrina M. Goldberg | Registered Nurse | 1242 Twelve Stones Crossing, Goodlettsville, TN 37072 | 2007-04-12 |
| 1811012792 | Hal T Farmer | Chiropractor | 511 Rivergate Pkwy, Goodlettsville, TN 37072 | 2007-03-20 |
| 1417009440 | Michael A Rhodes Sr. | Family Medicine | 105. B. Memorial Dr., Suite B, Goodlettsville, TN 37072 | 2007-01-18 |
| 1417017039 | Gwendolyn Carney | Occupational Therapist | 813 S. Dickerson Rd, Goodlettsville, TN 37072 | 2006-12-12 |
| Find all providers in zip 37072 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437510146 | Jeffrey Bryce Farr | Dentist | Noba 509 New Hwy 96, Suite 100, Franklin, TN 37064 | 2016-03-09 |
| 1972830750 | Russell D Morrell | Dentist | 120 S Grove Park Rd, Memphis, TN 38117-3104 | 2009-11-16 |
| 1356891675 | Monument Dental Anesthesia Pllc | Dentist | 120 S Grove Park Rd, Memphis, TN 38117-3104 | 2016-10-11 |
| 1255564340 | A (plus) Dental Associates, Inc. | Dentist | 234 E Gaines St, Lawrenceburg, TN 38464-3343 | 2009-08-24 |
| City | GOODLETTSVILLE |
| Zip Code | 37072 |
Please comment or provide details below to improve the information on DR. KATIE ELIZABETH 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.