MRS. DARLA JO BRADLE (NPI# 1841539616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841539616 |
| Entity Type | Individual |
| Full Name | MRS. DARLA JO BRADLE |
| Credential | APN, CNS-BC |
| Practice Address |
2222 E State St Suite 209 Rockford IL 61104-1573 |
| Practice Telephone | 8159888500 |
| Practice Fax Number | 8159775956 |
| Mailing Telephone | 8159888500 |
| Mailing Fax Number | 8159775956 |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SC0200X |
Clinical Nurse Specialist Specialization: Critical Care Medicine |
209.003000 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2222 E STATE ST SUITE 209 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61104-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194897223 | Niccole Ranz | Family Medicine | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2006-11-14 |
| 1639542657 | Molly Engelkes | Nurse Practitioner | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2015-11-12 |
| 1700261781 | Joani Sue Browning | Nurse Practitioner | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2015-07-20 |
| 1093109043 | Dauphne Sims | Clinical Nurse Specialist | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2015-03-26 |
| 1821494568 | Kathleen E Wodrich | Nurse Practitioner | 2222 E State St, Ste 209, Rockford, IL 61104-1573 | 2014-11-07 |
| 1548663909 | Juliette A Strombeck | Nurse Practitioner | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2014-09-30 |
| 1881097244 | Purvi S Patel | Nurse Practitioner | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2014-09-30 |
| 1396166799 | Angela Mclain | Licensed Practical Nurse | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2014-01-02 |
| 1114358264 | Lauran E Wendt | Nurse Practitioner | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2013-11-27 |
| 1114362753 | Rachael Reinagle | Nurse Practitioner | 2222 E State St, Suite 209, Rockford, IL 61104-1573 | 2013-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699216564 | Swedishamerican Hospital | Nutritionist | 1415 E. State St., Lower Level A3, Rockford, IL 61104 | 2017-03-13 |
| 1376950485 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 200, Rockford, IL 61104 | 2014-07-21 |
| 1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
| 1962652339 | Children's Home and Aid | Community/Behavioral Health | 424 7th St, Rockford, IL 61104 | 2008-09-23 |
| 1689729535 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 100, Rockford, IL 61104 | 2007-01-23 |
| 1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
| 1013026624 | Thomas Ryan Moss | Dentist | 1415 E State Street, Rockford, IL 61104 | 2006-08-29 |
| 1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
| 1245263268 | William John Stout | Physician Assistant | 1401 E State Street, Rockford, IL 61104 | 2006-07-10 |
| 1689604969 | Prabha Chand Dosi | Pediatrics | 1401 E. State Street, Rockford, IL 61104 | 2006-07-03 |
| Find all providers in zip 61104 | ||||
| Taxonomy Code | 364SC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316153984 | Constance A Wright | Clinical Nurse Specialist | 5758 South Maryland, Chicago, IL 60637 | 2007-05-14 |
| 1215076153 | Elizabeth (beth) T Zimmermann | Clinical Nurse Specialist | 5839 So. Maryland Ave., Mc4062-ucch, Chicago, IL 60637 | 2007-02-06 |
| 1205332509 | Irene Copak | Clinical Nurse Specialist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2018-04-04 |
| 1831623636 | Sheri Moonan | Clinical Nurse Specialist | 4440 W 95th St, 6324p- Lung Transplant Office, Oak Lawn, IL 60453-2600 | 2017-04-18 |
| 1104272079 | Candice White | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2016-05-10 |
| 1982029856 | Jennifer Casey | Clinical Nurse Specialist | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2014-02-28 |
| 1336578582 | Pamela Heydorn | Clinical Nurse Specialist | 133 E Brush Hill Rd, Ste. 202, Elmhurst, IL 60126-5659 | 2013-11-08 |
| 1073956777 | Leslie Ann Collins | Clinical Nurse Specialist | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2013-04-11 |
| 1306183173 | Ann L Miller | Clinical Nurse Specialist | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2013-01-13 |
| 1831444082 | Ann Czarny | Clinical Nurse Specialist | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2012-07-13 |
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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.