JILL KRISTEN BRADFORD (NPI# 1871605501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871605501 |
| Entity Type | Individual |
| Full Name | JILL KRISTEN BRADFORD |
| Credential | MSED, ATC, LAT |
| Practice Address |
1800 Se Tiffany Ave Port St Lucie FL 34952-7521 |
| Mailing Address |
1825 Sw Angelico Ln Port St Lucie FL 34984-4456 |
| Practice Telephone | 7723354000 |
| Practice Fax Number | 7723983700 |
| Mailing Telephone | 7723365296 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL1271 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013235779 | Jill S Bradford | Social Worker | 610 State Route 116, Metamora, IL 61548-7729 | 2010-05-05 |
| 1831658558 | Jill L Bradford | Counselor | 5980 Webb St, Loomis, CA 95650-7625 | 2019-03-13 |
| Street Address |
1800 SE TIFFANY AVE |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-7521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929031 | James Michael D'amato | Anesthesiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2005-08-11 |
| 1578173035 | Geily Joanna Ward | Pharmacist | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2020-08-08 |
| 1740809433 | Kenoviah Heron | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2020-04-13 |
| 1659990760 | Jonathan C. Nilson | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2020-04-09 |
| 1538796081 | Brendan Lawrence Mahoney | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2020-03-25 |
| 1326675968 | Alec Colby Underhill | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2020-03-24 |
| 1205490372 | Kyle Nielsen | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2019-04-24 |
| 1134689987 | Chase Hemphill | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2019-03-20 |
| 1427517432 | Morgan Macintyre | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2019-03-19 |
| 1346709391 | Nicole Tobin | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629374798 | Catherine Rose Hampe | Specialist/Technologist | 502 Se Fallon Dr, Port St Lucie, FL 34983-2637 | 2011-02-07 |
| 1710209663 | Thomas N. Truedson | Specialist/Technologist | 525 Nw Peacock Blvd, Port St Lucie, FL 34986-2210 | 2010-02-19 |
| 1699333435 | Nicholas Roberts | Specialist/Technologist | 525 Nw Peacock Blvd, Port St Lucie, FL 34986-2210 | 2019-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597560 | Hannah Ogle | Specialist/Technologist | 110 Gloria Drive, Hollister, FL 32147 | 2020-10-30 |
| 1740889377 | Ryan Michael Hill | Specialist/Technologist | 314 S Habana Ave, Tampa, FL 33609-3223 | 2020-10-24 |
| 1568061182 | Lester Vivian Leon Ferdinand | Specialist/Technologist | 6705 S Red Rd Ste 410, South Miami, FL 33143-3644 | 2020-10-24 |
| 1770182651 | Sarah Danielle Combs | Specialist/Technologist | 4521 Lenmore Street, Orlando, FL 32812 | 2020-10-21 |
| 1679170369 | David S Duchin | Specialist/Technologist | 19033 Nw 23rd Ct, Pembroke Pines, FL 33029-5337 | 2020-10-06 |
| 1750988838 | Jade Shields | Specialist/Technologist | 144 Enrede Ln, Saint Augustine, FL 32095-7436 | 2020-10-02 |
| 1639786940 | Dewayne N Dubose | Specialist/Technologist | 344 Chesham St, Ormond Beach, FL 32174-0692 | 2020-09-30 |
| 1467069914 | Alison M Dougan | Specialist/Technologist | 3345 Cypress Legends Cir Apt 1104, Fort Myers, FL 33905-5542 | 2020-09-29 |
| 1225643240 | Megan Marisa Fox | Specialist/Technologist | 5803 Marta Dr, Tampa, FL 33617-1125 | 2020-09-15 |
| 1104430305 | Nikki Page Keown | Specialist/Technologist | 12136 Luftburrow Ln, Hudson, FL 34669-5005 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
Please comment or provide details below to improve the information on JILL KRISTEN 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.