MARY LUCILE BRADFORD (NPI# 1083836910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083836910 |
| Entity Type | Individual |
| Full Name | MARY LUCILE BRADFORD |
| Credential | NNP-BC, MN |
| Practice Address |
1719 E 19th Ave Denver CO 80218-1235 |
| Mailing Address |
129 Rowena Pl Lafayette CO 80026-3134 |
| Practice Telephone | 3038397790 |
| Practice Fax Number | 3038397987 |
| Mailing Telephone | 3036739959 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
125034 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699718841 | Mary L Bradford | Social Worker | 1502s Boulder Ave 22h, Tulsa, OK 74119-4027 | 2006-06-14 |
| 1730421082 | Mary Catherine Bradford | Registered Nurse | 100 Blassingame Rd, Greenville, SC 29605-3304 | 2013-03-25 |
| 1477810554 | Mary Bradford | Physical Therapist | 8300 Constitution Avenue Ne, Presbyterian Kaseman Hospital, Albuquerque, NM 87110-7613 | 2012-04-13 |
| 1770715088 | Mary Anne Bradford | Occupational Therapist | 675 Seminole Ave Ne, Suite T05, Atlanta, GA 30307-3408 | 2009-08-20 |
| 1487790283 | Mary Bradford | Speech-Language Pathologist | 806 N Washington St, Bismarck, ND 58501-3623 | 2007-01-29 |
| 1689726812 | Mary Francis Bradford | Adult Companion | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2007-01-17 |
| Street Address |
1719 E 19TH AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80218-1235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922089333 | Healthone Clinic Services LLC | Psychiatry & Neurology | 1719 E 19th Ave, Denver, CO 80218-1235 | 2005-11-11 |
| 1891301222 | Healthone Heart Care LLC | Internal Medicine | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-09-21 |
| 1861008690 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-09-17 |
| 1548875537 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-09-15 |
| 1578179503 | Ryan Patrick Nickerson | Nurse Practitioner | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-09-15 |
| 1790390698 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-09-09 |
| 1376155382 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-08-20 |
| 1962029413 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-07-01 |
| 1801411012 | Robin Fm Chavet | Registered Nurse | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-06-12 |
| 1023632049 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394462 | Robert Collins Taylor | Student in an Organized Health Care Education/Training Program | Family Medicine - Rainer General Surgery, 1960 Ogden Street, Suite 400, Denver, CO 80218 | 2020-04-03 |
| 1679136568 | Ayal Levi | Student in an Organized Health Care Education/Training Program | 1375 E. 19th Avenue Saint Joseph Hospital, Russell Pavillion, 2nd Floor Gme, Denver, CO 80218 | 2019-04-17 |
| 1588124408 | Leah Kellogg | Student in an Organized Health Care Education/Training Program | Bruner Family Medicine - 1960 Ogden St, Suite 460, Denver, CO 80218 | 2019-03-25 |
| 1316407828 | Brant Barry Hafen | Student in an Organized Health Care Education/Training Program | Family Medicine - Caritas Clinic, 1960 Ogden St., Suite 400, Denver, CO 80218 | 2019-03-21 |
| 1679058671 | Katarina Baldovin | Behavioral Analyst | 1430 Humboldt St, Apt 502, Denver, CO 80218 | 2018-09-26 |
| 1235677345 | Angelica Hollins Cunningham | Physical Therapist | 1830 N Franklin St Ste 400, Denver, CO 80218 | 2017-02-09 |
| 1104373786 | Anoush Simonyan | Counselor | 1724 Gilpin Street, Denver, CO 80218 | 2016-09-01 |
| 1881140143 | James Cole Abrams, LLC | Community/Behavioral Health | 1252 Corona St, Apt 4, Denver, CO 80218 | 2016-08-28 |
| 1316398167 | Joanna Ford Counseling | Community/Behavioral Health | 825 East Speer Blvd., 100b, Denver, CO 80218 | 2016-06-23 |
| 1487002671 | Anne Elizabeth Gulick | Physician Assistant | 1601 E 19th Ave, Suite 6600, Denver, CO 80218 | 2016-05-27 |
| Find all providers in zip 80218 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922474469 | Manojkumar E Sebastian | Nurse Practitioner | 1375 E 17th Ave, Denver, CO 80218-1550 | 2015-08-19 |
| 1063790871 | Elise J. Matheny | Nurse Practitioner | 777 Bannock St # 590, Denver, CO 80204-4507 | 2011-07-27 |
| 1043446826 | Angela Jane Ruf | Nurse Practitioner | 2067 Cherry St, Denver, CO 80207-3746 | 2009-06-07 |
| 1396830683 | Karen Naimoli Jensen | Nurse Practitioner | 1601 E. 19th Ave, Denver, CO 80218 | 2006-10-04 |
| 1497373856 | Elizabeth Ann Simmons | Nurse Practitioner | 1375 E 19th Ave, Denver, CO 80218-1114 | 2020-07-11 |
| 1699181867 | Maegan Nelson | Nurse Practitioner | 777 Bannock St, Denver, CO 80204-4507 | 2014-07-08 |
| 1083041602 | Susan Renee Walker | Nurse Practitioner | 1719 E 19th Ave, Denver, CO 80218-1235 | 2013-09-27 |
| 1598003139 | Michelle Denise Bennett | Nurse Practitioner | 1719 E 19th Ave, Denver, CO 80218-1235 | 2013-01-16 |
| 1023356664 | Kathryn Brecht | Nurse Practitioner | 1719 E 19th Ave, Denver, CO 80218-1235 | 2013-01-16 |
| 1518204288 | Jennifer Taylor | Nurse Practitioner | 1719 E 19th Ave, Denver, CO 80218-1235 | 2013-01-14 |
| Find all providers in DENVER | ||||
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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.