KAREN S BRADSHAW (NPI# 1063618494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063618494 |
| Entity Type | Individual |
| Full Name | KAREN S BRADSHAW |
| Credential | ARNP |
| Practice Address |
10115 Forest Hill Blvd Suite 300 Wellington FL 33414-3105 |
| Practice Telephone | 5613286165 |
| Practice Fax Number | 5613286091 |
| Mailing Telephone | 5613286165 |
| Mailing Fax Number | 5613286091 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2018-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
2739042 | FL | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
2739042 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 305881600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033488796 | Karen Elizabeth Bradshaw | Nurse Practitioner | 5524 Hospital N, Box 100500 Med Ctr, Durham, NC 27710-0001 | 2011-12-23 |
| 1982986816 | Karen L Bradshaw | Nurse Practitioner | 13700 St Francis Blvd, Suite 510, Midlothian, VA 23114-3222 | 2011-09-16 |
| 1093857666 | Karen Diane Bradshaw | Counselor | 1745 Enterprise Dr, Bldg. 2, Fairfield, CA 94533-5801 | 2007-02-12 |
| 1518924992 | Karen D Bradshaw | Obstetrics & Gynecology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-04-28 |
| Street Address |
10115 FOREST HILL BLVD SUITE 300 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545665 | Jerry Herbert Singer | Urology | 10115 Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2005-06-01 |
| 1487194981 | Travel Medicine & Infectious Diseases of The Palm Beaches LLC | Internal Medicine | 10115 Forest Hill Blvd, Suite 102, Wellington, FL 33414-3105 | 2017-03-02 |
| 1417407446 | Erika Ruiz | Nurse Practitioner | 10115 Forest Hill Blvd, Ste 101, Wellington, FL 33414-3105 | 2016-10-13 |
| 1871964916 | 21st Century Oncology LLC | Urology | 10115 Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2015-10-15 |
| 1750751996 | Teresa R Budny | Audiologist | 10115 Forest Hill Blvd, Suite 103, Wellington, FL 33414-3105 | 2015-09-30 |
| 1740692615 | Amy Herrod | Nurse Practitioner | 10115 Forest Hill Blvd, Suite 200, Wellington, FL 33414-3105 | 2014-05-27 |
| 1245653971 | Abbi Pawelkoski | Dietitian, Registered | 10115 Forest Hill Blvd, Suite 300, Wellington, FL 33414-3105 | 2014-01-31 |
| 1508112202 | Faris J. Fakhoury, Md, Pa | Neurological Surgery | 10115 Forest Hill Blvd, Suite 405, Wellington, FL 33414-3105 | 2012-07-31 |
| 1568722528 | Jessica Ann Clark | Obstetrics & Gynecology | 10115 Forest Hill Blvd, Suite 300, Wellington, FL 33414-3105 | 2012-05-24 |
| 1538462304 | Lake Worth Pain Center, Pa | Specialist | 10115 Forest Hill Blvd, Suite 102, Wellington, FL 33414-6178 | 2010-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861005464 | Sharon Resto | Nurse Practitioner | 16206 Breckinmore Ln, Tampa, FL 33625-1004 | 2020-08-25 |
| 1346863552 | Danielle Selig Jaeger | Nurse Practitioner | 27 Flowertree Dr, Ormond Beach, FL 32174-3091 | 2020-05-21 |
| 1568096550 | Denise Nicely | Nurse Practitioner | 5100 Station Way, Sarasota, FL 34233-3221 | 2020-02-27 |
| 1104450592 | Kionna Sadie Pitts | Nurse Practitioner | 2902 N Armenia Ave Ste 100, Tampa, FL 33607-1661 | 2020-02-25 |
| 1720610090 | Patricia Rivero | Nurse Practitioner | 445 Woodcrest Rd, Key Biscayne, FL 33149-1838 | 2020-02-05 |
| 1215567524 | Kristina Chardon | Nurse Practitioner | 11500 University Blvd Ste B, Orlando, FL 32817-2197 | 2020-01-26 |
| 1962043554 | Marcel Bernadette Nagel | Nurse Practitioner | 1523 Ashlee Branch Way, Saint Johns, FL 32259-1923 | 2019-10-04 |
| 1336798412 | Vicky Arlene Smith | Nurse Practitioner | 501 Pointe Allyson Way, Orlando, FL 32825-5973 | 2019-09-10 |
| 1003476011 | Angela Marie Bumpus | Nurse Practitioner | 9121 Lantern Oak Way, Land O Lakes, FL 34638-2607 | 2019-06-20 |
| 1396301230 | Mary Elizabeth Buie | Nurse Practitioner | 5457 Baldwin Park St, Orlando, FL 32814-6749 | 2019-05-16 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
Please comment or provide details below to improve the information on KAREN S 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.