MONIQUE LAVERNE BRADFORD (NPI# 1831556174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831556174 |
| Entity Type | Individual |
| Full Name | MONIQUE LAVERNE BRADFORD |
| Credential | NP-C |
| Practice Address |
4716 Alliance Blvd Plano TX 75093-5371 |
| Mailing Address |
1100 Allied Dr Plano TX 75093-5348 |
| Practice Telephone | 4698143892 |
| Mailing Telephone | 4698143892 |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP126261 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4716 ALLIANCE BLVD |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588634 | David S. Bastawros | Podiatrist | 4716 Alliance Blvd, Ste 300, Plano, TX 75093-5371 | 2005-06-16 |
| 1427566371 | James Hale Miller Jr. | Social Worker | 4716 Alliance Blvd, 775, Plano, TX 75093 | 2018-01-12 |
| 1053794768 | Kayme Mcintosh | Nurse Practitioner | 4716 Alliance Blvd, Suite 500, Plano, TX 75093-5371 | 2015-06-30 |
| 1053723635 | Eating Recovery Center of Dallas | Psychiatric Hospital | 4716 Alliance Blvd, Suite 400, Plano, TX 75093-5371 | 2014-05-29 |
| 1073939443 | Dayna Vestal | Nurse Practitioner | 4716 Alliance Blvd, Pavillion II, Suite 270, Plano, TX 75093-5371 | 2014-03-10 |
| 1003259458 | Sean Allan Townsend | Internal Medicine | 4716 Alliance Blvd, Suite 500, Plano, TX 75093-5371 | 2013-04-15 |
| 1891084968 | James David Russell | Dermatology | 4716 Alliance Blvd, Suite 150, Plano, TX 75093-5371 | 2011-03-29 |
| 1144475229 | Justin Michael Schaffer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4716 Alliance Blvd, Pavilion II, Suite 310, Plano, TX 75093-5371 | 2008-11-17 |
| 1538349360 | Katherine Brooks Harrington | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4716 Alliance Blvd, Pavillion II, Suite 310, Plano, TX 75093-5371 | 2007-11-09 |
| 1255510103 | David S Bastawros Dpm Pa | Podiatrist | 4716 Alliance Blvd, Ste 300, Plano, TX 75093-5371 | 2007-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811320237 | Wendy Y Wang | Nurse Practitioner | 4708 Alliance Blvd Ste 550, Plano, TX 75093-5363 | 2013-08-21 |
| 1376904607 | Melissa Ana Alhezayen | Nurse Practitioner | 5501 Independence Pkwy Ste 110, Plano, TX 75023-5472 | 2016-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262570 | Holly Joyce Carlstrand | Nurse Practitioner | 18 Carmel Chase Ct, Manvel, TX 77578-3452 | 2020-10-13 |
| 1700483690 | Amy Calder | Nurse Practitioner | 14441 Memorial Dr Ste 5, Houston, TX 77079-6708 | 2020-10-05 |
| 1104423300 | Donna Ann Ford | Nurse Practitioner | 1605 Turtle Dr, San Angelo, TX 76904-7708 | 2020-10-01 |
| 1497361653 | Alexis Jolivet | Nurse Practitioner | 8706 Shiloh St, Texas City, TX 77591-2327 | 2020-09-22 |
| 1851906960 | Ann Nnenna Ugbeme | Nurse Practitioner | 1601 Lisburn Dr, Mckinney, TX 75071-3357 | 2020-09-15 |
| 1528673233 | Lashika R Meanus | Nurse Practitioner | 10501 Matador Dr, Mckinney, TX 75072-2952 | 2020-09-10 |
| 1700498391 | Raphael Udalor | Nurse Practitioner | 3631 Campfield Ct, Katy, TX 77449-8621 | 2020-08-17 |
| 1326664020 | Tasha Samantha Leonard | Nurse Practitioner | 622 Orlandis Ln, Rosenberg, TX 77469-5084 | 2020-06-19 |
| 1962025171 | Shewana Spencer | Nurse Practitioner | 613 W Bluff St, Woodville, TX 75979-5125 | 2020-05-21 |
| 1992325906 | Emily Natosha Bennett | Nurse Practitioner | 4323 Dragonwick Dr, Houston, TX 77045-3311 | 2020-04-20 |
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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.