BRENDA FAY BRADLEY (NPI# 1871639781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871639781 |
| Entity Type | Individual |
| Full Name | BRENDA FAY BRADLEY |
| Credential | R.N. |
| Practice Address |
185 Justice Center Drive Rutledge TN 37861 |
| Mailing Address |
3105 Washington Ridge Way Apt. 805 Knoxville TN 37917-2087 |
| Practice Telephone | 8658285247 |
| Practice Fax Number | 8658283594 |
| Mailing Telephone | 8655231353 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN0000047964 | TN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164486502 | Brenda Shay Bradley | Dentist | 7032 Forest Hill Ave, Suite B, Richmond, VA 23225-1608 | 2006-04-13 |
| 1013552868 | Brenda Marie Bradley | Occupational Therapist | 23265 Northwestern Hwy, Southfield, MI 48075-7707 | 2019-11-14 |
| Street Address |
185 JUSTICE CENTER DRIVE |
| City | RUTLEDGE |
| State | TN |
| Zip Code | 37861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396203840 | Ashton Trent | Registered Nurse | 185 Justice Center Drive, Rutledge, TN 37861 | 2019-03-04 |
| 1235694563 | Kayla Marie Stooksbury | Nutritionist | 185 Justice Center Drive, Rutledge, TN 37861 | 2019-01-31 |
| 1588181655 | Beverly Renee Lakins | Nurse's Aide | 185 Justice Center Drive, Rutledge, TN 37861 | 2017-08-29 |
| 1023531712 | Kristaline Suzanne Pratt | Registered Nurse | 185 Justice Center Drive, Rutledge, TN 37861 | 2017-07-25 |
| 1982742821 | State of Tennessee | Public Health or Welfare | 185 Justice Center Drive, Rutledge, TN 37861 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962541326 | Mark E. Holland | Internal Medicine | 8048 Rutledge Pike, Rutledge, TN 37861 | 2007-02-05 |
| 1336286749 | Brenda Sue Jones | Licensed Practical Nurse | 185 Justice Center Dr, Rutledge, TN 37861 | 2007-02-01 |
| 1609921865 | Susan Fay Hodge | Registered Nurse | 185 Justice Center Dr., Rutledge, TN 37861 | 2007-01-25 |
| 1215089289 | Horizon Healthcare Services Pllc | Internal Medicine | 8732 Rutledge Pike, Suite B, Rutledge, TN 37861 | 2007-01-18 |
| 1831286640 | Woodard Duffey Foutch | Dentist | 7786 Rutledge Pike, Rutledge, TN 37861 | 2006-10-05 |
| 1134110042 | County of Grainger | Ambulance | 270 Justice Center Drive, Suite 101, Rutledge, TN 37861 | 2005-10-31 |
| 1134127343 | Dennis Howard Duck | Emergency Medicine | 8731 Rutledge Pike, Rutledge, TN 37861 | 2005-07-12 |
| 1912191149 | Rutledge Medical Clinic Incorporated | Internal Medicine | 8048 Rutledge Pike, Rutledge, TN 37861 | 2007-08-30 |
| 1447331962 | Rehab Group of Morristown | Physical Therapist | 8731 Rutledge Pike, Rehab Group of Rutlege, Rutledge, TN 37861 | 2006-10-18 |
| 1417018698 | Jeffco Rutledge Drugs | Pharmacist | 8120 Rutledge Pike, Rutledge, TN 37861-0406 | 2006-12-12 |
| Find all providers in zip 37861 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720395312 | Sharon Elaine Cabbage | Registered Nurse | 1325 Davis Rd, Rutledge, TN 37861-4249 | 2010-09-03 |
| 1609921865 | Susan Fay Hodge | Registered Nurse | 185 Justice Center Dr., Rutledge, TN 37861 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023166 | Stephanie Blythe Korn | Registered Nurse | 9229 Fox Run Dr, Brentwood, TN 37027-7443 | 2020-08-12 |
| 1417565169 | Belinda Mcnair | Registered Nurse | 4865 Sagewood Dr, Memphis, TN 38116-7953 | 2020-07-20 |
| 1457903098 | Latonya Ivy | Registered Nurse | 50 N Dunlap St Fl 4, Memphis, TN 38103-2800 | 2019-07-14 |
| 1093280968 | Mary Elizabeth Best | Registered Nurse | 2734 Best Rd, Maryville, TN 37803-2633 | 2018-10-08 |
| 1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
| 1639668775 | Lisa Ann Brown | Registered Nurse | 168 Ekvall Ln, Dunlap, TN 37327-7731 | 2018-05-03 |
| 1710494117 | Lydia Ellen Hicks | Registered Nurse | 214 W. Longview Drive, Portland, TN 37148 | 2018-01-08 |
| 1588195549 | Rosza Branson | Registered Nurse | 1202 Laurel Bluff Rd, Kingston, TN 37763-6022 | 2017-03-22 |
| 1366984841 | Krystal Lynn Pulley | Registered Nurse | 330 Pageant Lane, Clarksville, TN 37040 | 2016-11-15 |
| 1245780451 | Chasity Jett | Registered Nurse | 1242 Knowling Loop, Talbott, TN 37877-3307 | 2016-10-12 |
| Find all providers with the same taxonomy | ||||
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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.