MS. KAREN DIANE BRADSHAW (NPI# 1093857666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093857666 |
| Entity Type | Individual |
| Full Name | MS. KAREN DIANE BRADSHAW |
| Other Name | MS. KAREN DIANE ROBINSON |
| Practice Address |
1745 Enterprise Dr Bldg. 2 Fairfield CA 94533-5801 |
| Mailing Address |
18 Daniels Ave # A Vallejo CA 94590-3036 |
| Practice Telephone | 7075542397 |
| Mailing Telephone | 7072057778 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| 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 |
| 1063618494 | Karen S Bradshaw | Registered Nurse | 10115 Forest Hill Blvd, Suite 300, Wellington, FL 33414-3105 | 2007-06-22 |
| 1518924992 | Karen D Bradshaw | Obstetrics & Gynecology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-04-28 |
| Street Address |
1745 ENTERPRISE DR BLDG. 2 |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558435230 | Tomikka Kimberly Lee | Social Worker | 1745 Enterprise Dr, V110 Bldg 2, Fairfield, CA 94533-5801 | 2006-11-17 |
| 1275150286 | Patricia Baker | Counselor | 1745 Enterprise Dr, Fairfield, CA 94533-5801 | 2020-06-25 |
| 1669097457 | Dina L Sandersmayfield | Counselor | 1745 Enterprise Dr, Fairfield, CA 94533-5801 | 2020-06-08 |
| 1881066769 | Autumn Makamson | Social Worker | 1745 Enterprise Dr, Fairfield, CA 94533-5801 | 2015-10-30 |
| 1376924910 | Sofia Herrera | Social Worker | 1745 Enterprise Dr, Bldg 2, First Floor, Suite V110, Fairfield, CA 94533-5801 | 2015-06-09 |
| 1649657248 | Agape Counseling Center and Network | Community/Behavioral Health | 1745 Enterprise Dr, Bldg 2, Fairfield, CA 94533-5801 | 2015-05-04 |
| 1366706806 | Srbui Sabrina Dertsakyan | Psychologist | 1745 Enterprise Dr, Fairfield, CA 94533-5801 | 2012-06-29 |
| 1841523719 | Heather Doumbia | Counselor | 1745 Enterprise Dr, Fairfield, CA 94533-5801 | 2009-09-10 |
| 1245480862 | Patricia Ann Boykin | Student in an Organized Health Care Education/Training Program | 1745 Enterprise Dr, Building 2, I-64, Fairfield, CA 94533-5801 | 2008-09-19 |
| 1649439233 | Reggie A Smith | Counselor | 1745 Enterprise Dr, Fairfield, CA 94533-5801 | 2008-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411386 | Darren Hailey | Counselor | 72 Villa Cir, Fairfield, CA 94533-2523 | 2020-03-04 |
| 1013567270 | Asia Robinson | Counselor | 1165 Dove Way, Fairfield, CA 94533-2542 | 2019-09-18 |
| 1689220477 | Carl Leonard Fessenden | Counselor | 1974 Winchester Pl, Fairfield, CA 94533-3618 | 2019-08-16 |
| 1598262677 | Jason Michael Levline | Counselor | 5266 Charlene Ave, Fairfield, OH 45014-1535 | 2018-04-06 |
| 1497285084 | Beth A. Bronfman | Counselor | 87 Fairfield Rd, Fairfield, NJ 07004-2546 | 2017-06-15 |
| 1588191290 | Kirk D. Condon | Counselor | 201 South 23rd, Fairfield, IA 52556 | 2017-05-12 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1730639329 | Jonathon Grogan | Counselor | 2480 Hilborn Rd, Fairfield, CA 94534-1856 | 2016-10-07 |
| 1295119196 | Sara Faye Jones | Counselor | 745 Ohio St Apt 2, Fairfield, CA 94533-6222 | 2015-07-10 |
| 1205242583 | Amy Lynn Davis | Counselor | 620 Julmar Cir, Fairfield, CA 94534-4214 | 2014-07-07 |
| Find all providers in FAIRFIELD | ||||
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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.