LAWANA BRADLEY (NPI# 1306489281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306489281 |
Entity Type | Individual |
Full Name | LAWANA BRADLEY |
Credential | MSN, APRN, APN-C |
Practice Address |
296 Lake Rd Atkins AR 72823-7165 |
Practice Telephone | 4798579229 |
Mailing Telephone | 4798579229 |
Enumeration Date | 2019-10-23 |
Last Update Date | 2019-10-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
122366 | AR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
296 LAKE RD |
City | ATKINS |
State | AR |
Zip Code | 72823-7165 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649338013 | Atkins School | Local Education Agency (LEA) | 302 Avenue 2 Nw, Atkins, AR 72823 | 2006-12-05 |
1235503046 | Sarah Melissa Stewart | Physical Therapy Assistant | 408 N Church St, Atkins, AR 72823-0000 | 2015-11-17 |
1689932410 | Melinda Weaver | Case Manager/Care Coordinator | 1309 N Church St, Atkins, AR 72823-3230 | 2012-04-30 |
1588096770 | Charles Henry | Case Manager/Care Coordinator | 1309 N Church St, Atkins, AR 72823-3230 | 2013-07-30 |
1003256207 | Tiffany Campos | Case Manager/Care Coordinator | 1309 N Church St, Atkins, AR 72823-3230 | 2013-07-02 |
1083050744 | Jefri Carrol 'cheyenne' Pippin | Case Manager/Care Coordinator | 1309 N Church St, Atkins, AR 72823-3230 | 2013-05-21 |
1750727426 | Twyla Mcelfish | Case Manager/Care Coordinator | 1309 N Church St, Atkins, AR 72823-3230 | 2013-05-21 |
1780020479 | Amy Roberts | Counselor | 1309 N Church St, Atkins, AR 72823-3230 | 2013-05-21 |
1245676071 | D'lynn Boger | Case Manager/Care Coordinator | 1309 N Church St, Atkins, AR 72823-3230 | 2013-05-20 |
1962742346 | Jade Dixon Laymon | Case Manager/Care Coordinator | 1309 N Church St, Atkins, AR 72823-3230 | 2013-02-22 |
Find all providers in zip 72823 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720611361 | Jamie L Cagle | Nurse Practitioner | 1500 Dodson Ave # 60, Fort Smith, AR 72901-5182 | 2020-02-21 |
1679116024 | Michelle Grant | Nurse Practitioner | 130 Mark Cir, Monticello, AR 71655-5617 | 2019-10-17 |
1780238782 | Chelsea D. Marquis | Nurse Practitioner | 4401 Sw Flagstone Blvd, Bentonville, AR 72713-4005 | 2019-07-29 |
1265094478 | Kristyn Clark | Nurse Practitioner | 210 S Thompson St, Springdale, AR 72764-4239 | 2019-07-08 |
1184194029 | Stephanie Lucille Converse | Nurse Practitioner | 326 Lee Rd # 601, Brickeys, AR 72320-8000 | 2018-12-04 |
1174026165 | Phoebe Grace Chandler | Nurse Practitioner | 3782 Solitude St, Springdale, AR 72764-6368 | 2018-03-15 |
1386143717 | Andrew Freeman Oliver | Nurse Practitioner | 650 United Dr Ste 200, Conway, AR 72032-7001 | 2018-02-12 |
1760908982 | Jamie Leigh Ferguson | Nurse Practitioner | 4301 W Markham St # 721-3, Little Rock, AR 72205-7101 | 2017-08-18 |
1336677731 | Robert Lee Mcgruder Jr. | Nurse Practitioner | 2308 Royal Ct Unit B, Bryant, AR 72022-4216 | 2017-05-30 |
1891238408 | Keesha Machie Brown | Nurse Practitioner | 6125 Highway 161 S, Scott, AR 72142-9351 | 2016-11-30 |
Find all providers with the same taxonomy |
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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.