BRADFORD NATHANIAL WHITEHEAD (NPI# 1063950335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063950335 |
| Entity Type | Individual |
| Full Name | BRADFORD NATHANIAL WHITEHEAD |
| Credential | NP |
| Practice Address |
1036 Sharon Dr Jeffersonville IN 47130-4522 |
| Practice Telephone | 8122802080 |
| Mailing Telephone | 8122802080 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
71006859A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
71006859A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1036 SHARON DR |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538396155 | Amanda Sue Davis-houchen | Nurse Practitioner | 1036 Sharon Dr, Jeffersonville, IN 47130-4522 | 2009-06-22 |
| 1568921096 | Stacy Lynn Bishop | Social Worker | 1036 Sharon Dr, Jeffersonville, IN 47130-4522 | 2019-03-14 |
| 1194296400 | Alison Kay Tempero | Counselor | 1036 Sharon Dr, Jeffersonville, IN 47130-4522 | 2018-12-13 |
| 1710483037 | Leigha Bowyer Jones | Nurse Practitioner | 1036 Sharon Dr, Jeffersonville, IN 47130-4522 | 2018-04-04 |
| 1891151783 | Ashley Beth Cebe | Social Worker | 1036 Sharon Dr, Jeffersonville, IN 47130-4522 | 2016-01-07 |
| 1982083564 | Lifespring, Inc | Clinic/Center | 1036 Sharon Dr, Jeffersonville, IN 47130-4522 | 2015-05-28 |
| 1801294236 | Laboratory Corporation of America | Clinical Medical Laboratory | 1036 Sharon Dr, Jeffersonville, IN 47130-4522 | 2014-12-17 |
| 1992102180 | Lifespring Medical Services, Inc | Clinic/Center | 1036 Sharon Dr, Jeffersonville, IN 47130-4522 | 2014-12-03 |
| 1851794374 | Melissa Johnston | Nurse Practitioner | 1036 Sharon Dr, Jeffersonville, IN 47130-4522 | 2014-09-29 |
| 1215376629 | Emily Klock | Social Worker | 1036 Sharon Dr, Jeffersonville, IN 47130-4522 | 2013-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| Find all providers in zip 47130 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528027919 | Diane B Crawford | Nurse Practitioner | 510 Spring Street, Jeffersonville, IN 47130 | 2006-03-23 |
| 1043861735 | Sara Bennett | Nurse Practitioner | 460 Spring St, Jeffersonville, IN 47130-3452 | 2019-09-24 |
| 1154978732 | Anna Maria Reyes-crawhorn | Nurse Practitioner | 510 Spring St, Jeffersonville, IN 47130-3554 | 2019-08-20 |
| 1841852118 | Paul Francis Duncan | Nurse Practitioner | 460 Spring St, Jeffersonville, IN 47130 | 2019-07-08 |
| 1831626894 | Steven Warren | Nurse Practitioner | 460 Spring St, Jeffersonville, IN 47130-3452 | 2017-05-20 |
| 1144775826 | Elizabeth Ann Smoot | Nurse Practitioner | 510 Spring St, Jeffersonville, IN 47130-3554 | 2016-08-23 |
| 1871927822 | William T Lavely | Nurse Practitioner | 510 Spring St, Jeffersonville, IN 47130-3554 | 2013-08-27 |
| 1548563208 | Ashley Lindsey | Nurse Practitioner | 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 | 2010-12-17 |
| 1437452182 | Ashley Lindsey Pmhnp LLC | Nurse Practitioner | 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 | 2010-12-17 |
| 1609183987 | Donna R Spears | Nurse Practitioner | 510 Spring St, Jeffersonville, IN 47130-3554 | 2010-09-08 |
| Find all providers in JEFFERSONVILLE | ||||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
Please comment or provide details below to improve the information on BRADFORD NATHANIAL WHITEHEAD.
| 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.