MRS. BEVERLY ANN BRADSHAW (NPI# 1043282502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043282502 |
| Entity Type | Individual |
| Full Name | MRS. BEVERLY ANN BRADSHAW |
| Credential | APRN BC |
| Practice Address |
2521 Beechwood Dr Elizabethton TN 37643-5062 |
| Practice Telephone | 4235437919 |
| Practice Fax Number | 4235435323 |
| Mailing Telephone | 4235437919 |
| Mailing Fax Number | 4235435323 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2012-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
49977 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE PTAN | 3348271 | 01 |
| TN | MEDICARE PTAN | 3348273 | 01 |
| TN | MECICARE PTAN | 3348272 | 01 |
| TN | NPI NUMBER | 1043282502 | 01 |
| Street Address |
2521 BEECHWOOD DR |
| City | ELIZABETHTON |
| State | TN |
| Zip Code | 37643-5062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316259203 | Micki Lee Whitlock | Nurse Practitioner | 2521 Beechwood Dr, Elizabethton, TN 37643-5062 | 2010-07-08 |
| 1851523641 | New Horizons Continence Management LLC | Family Medicine | 2521 Beechwood Dr, Elizabethton, TN 37643-5062 | 2009-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558831115 | Blue Ridge Medical Management Corporation | Internal Medicine | 404 Bemberg Rd, Elizabethton, TN 37643 | 2018-11-27 |
| 1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
| 1437533924 | Dr. Benjamin D. Parrish and Assoc Od. PC | Optometrist | 114 S. Sycamore St, Elizabethton, TN 37643 | 2015-07-14 |
| 1972980431 | Valerie Lynn Pierce | Nurse's Aide | 101 Crowe Rd, Elizabethton, TN 37643 | 2015-05-04 |
| 1679816730 | Jeremy Meyer | Surgery | 1497 W Elk Ave Ste 10, Elizabethton, TN 37643 | 2013-03-27 |
| 1649579087 | Melinda Lynn Jennings | Pharmacist | 507 West Elk Ave, Elizbethton, TN 37643 | 2011-03-24 |
| 1588987036 | Troy Kevin Covarrubias | Driver | 219 Coal Chute Rd, Elizabethton, TN 37643 | 2010-03-11 |
| 1649502048 | Derek Charles Rhoton | Physician Assistant | 1500 West Elk Ave, Elizabethton, TN 37643 | 2010-02-10 |
| 1144456047 | Peacock Medical Equipment and Home Health Care LLC | Home Health | 1201 Highway 19 E Bypass Suite 3, Elizabethton, TN 37643 | 2009-06-05 |
| 1235386434 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1210 Militia Ct., Elizabethton, TN 37643 | 2008-08-19 |
| Find all providers in zip 37643 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149155 | Emily Morefield | Nurse Practitioner | 209 Constitution Ave, Elizabethton, TN 37643-7247 | 2020-09-16 |
| 1265059059 | Taylor Tyree | Nurse Practitioner | 1575 Broad St, Elizabethton, TN 37643-6152 | 2020-06-29 |
| 1245640085 | Amy Clark | Nurse Practitioner | 1641 Highway 19e Byp, Elizabethton, TN 37643-4646 | 2014-05-01 |
| 1508182783 | Annetta Lee Nave | Nurse Practitioner | 412 Holly Ln, Elizabethton, TN 37643-2642 | 2010-04-14 |
| 1982210928 | Bridget Mashburn | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2020-09-16 |
| 1750930400 | Kansas Jessee Krabbe | Nurse Practitioner | 1501 W Elk Ave, Elizabethton, TN 37643-2854 | 2019-09-05 |
| 1386119733 | Rebecca Morris | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2018-10-11 |
| 1760965628 | Prabha Jaishwal Long | Nurse Practitioner | 1505 W Elk Ave Ste 2, Elizabethton, TN 37643-2848 | 2018-09-07 |
| 1114419728 | Alicia S Emery | Nurse Practitioner | 851 W Elk Ave, Elizabethton, TN 37643-2946 | 2018-05-31 |
| 1225579600 | Jessica Rachel Odell | Nurse Practitioner | 1497 W Elk Ave, Suite 21, Elizabethton, TN 37643-2895 | 2017-03-17 |
| Find all providers in ELIZABETHTON | ||||
| City | ELIZABETHTON |
| Zip Code | 37643 |
Please comment or provide details below to improve the information on MRS. BEVERLY ANN BRADSHAW.
| 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.