MRS. MABELLEN S. BRADLEY (NPI# 1962586545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962586545 |
| Entity Type | Individual |
| Full Name | MRS. MABELLEN S. BRADLEY |
| Credential | R.N. |
| Practice Address |
3200 Concordia Ave Monroe LA 71201-5113 |
| Mailing Address |
301 Marshall Dr Monroe LA 71202-6934 |
| Practice Telephone | 3183625188 |
| Practice Fax Number | 3183625214 |
| Mailing Telephone | 3183625188 |
| Mailing Fax Number | 3183625214 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN032871 | LA | Nursing Service Providers |
| Street Address |
3200 CONCORDIA AVE |
| City | MONROE |
| State | LA |
| Zip Code | 71201-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467486399 | Carmen Nmi Marsala | Counselor | 3200 Concordia Ave, Monroe, LA 71201 | 2006-07-10 |
| 1588006399 | Northeast Delta Human Services Authority | Clinic/Center | 3200 Concordia Ave, Monroe, LA 71201-5113 | 2013-07-22 |
| 1649403783 | Debbie Kincaid Mccoy | Counselor | 3200 Concordia Ave, Monroe, LA 71201-5113 | 2009-08-24 |
| 1710149810 | Monroe Addictive Disorder Clinic | Substance Abuse Rehabilitation Facility | 3200 Concordia Ave, Monroe, LA 71201-5113 | 2008-06-30 |
| 1740442169 | Monroe Addictive Disorders Clinic | Counselor | 3200 Concordia Ave, Monroe, LA 71201-5113 | 2008-06-26 |
| 1194923185 | Stephanie M. Marshall | Counselor | 3200 Concordia Ave, Monroe, LA 71201-5113 | 2007-07-11 |
| 1225110638 | Greta Mccaa Wiley | Counselor | 3200 Concordia Ave, Monroe, LA 71201-5113 | 2006-10-19 |
| 1902817190 | Eric Eldridge Brown | Counselor | 3200 Concordia Ave, Monroe, LA 71201-5113 | 2006-08-11 |
| 1003834417 | Mary Louise Lewis | Counselor | 3200 Concordia Ave, Monroe, LA 71201-5113 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871693655 | Sherry Ann Spillers | Registered Nurse | 4781 South Grand St, Monroe, LA 71202 | 2006-09-22 |
| 1467550624 | Beverly A Baldwin | Registered Nurse | 4781 S. Grand Street, Monroe, LA 71202 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558743914 | Donna Giordano | Registered Nurse | 1207 Cousin St, Slidell, LA 70458-3842 | 2015-06-22 |
| 1801070859 | Cinderella Marie Broussard | Registered Nurse | 208 W Gloria Switch Rd, Lafayette, LA 70507-3409 | 2007-12-27 |
| 1194830190 | Sylvia Ritchie | Registered Nurse | Meadow Lane Unit 6 Central State Hosp., Pineville, LA 71360 | 2006-08-20 |
| 1295849503 | Katherine T Fleming | Registered Nurse | Clsh/rrtc, Unit#6 Meadow Lane, Pineville, LA 71630 | 2006-08-17 |
| 1710992391 | Regina Carol Mcleod | Registered Nurse | 401 Rainbow Dr Unit 35, Pineville, LA 71360-6979 | 2006-07-30 |
| 1407468135 | Ronda Vincent | Registered Nurse | 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2020-08-24 |
| 1154930915 | Richard Jude Leblanc | Registered Nurse | 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2020-07-28 |
| 1851934384 | Kathy Ann Bounds | Registered Nurse | 23515 Highway 190, Mandeville, LA 70448-7334 | 2019-10-28 |
| 1487123709 | Jenny Belle Malbrue | Registered Nurse | 311 Macarthur Dr, Sunset, LA 70584-6212 | 2018-11-15 |
| 1932616059 | Melissa Jordan | Registered Nurse | 1543 Grimmett Dr, Shreveport, LA 71107 | 2018-01-10 |
| 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.