BRADLEY REATHERFORD


Address: 221 Northeast Ave, Peoria, IL 61636-0001
Phone: 3096725654

BRADLEY REATHERFORD (NPI# 1326288812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326288812
Entity Type Individual
Full Name BRADLEY REATHERFORD
Practice Address 221 Northeast Ave
Peoria
IL 61636-0001
Mailing Address 1652 Belclare Rd
Normal
IL 61761-4925
Practice Telephone 3096725654
Mailing Telephone 2174540780
Enumeration Date 2009-02-24
Last Update Date 2009-07-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 041334740 IL Nursing Service Providers
Y 367500000X Nurse Anesthetist, Certified Registered 209007657 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 221 NORTHEAST AVE
City PEORIA
State IL
Zip Code 61636-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083857486 Gretchen Joy Hackett Registered Nurse 221 Northeast Ave, Peoria, IL 61636-0001 2009-04-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962767376 Aman Deep Singh Psychiatry & Neurology 221 Ne Glen Oak Ave. 7 West, Dept. of Psych. and Behavior Health., Peoria, IL 61636 2012-07-11
1932490075 Christine Ann Wigginton Radiology 221 Ne Glen Oak Ave Dept Of, Peoria, IL 61636 2011-04-24
1154856607 Shubhada Reddy Psychiatry & Neurology 221 Ne Glen Oak Ave, Peoria, IL 61636 2017-04-21
1649657685 Nicholas Grieco Internal Medicine 221 Ne Glen Oak Ave, Peoria, IL 61636 2015-04-29
1659703759 Dhaval Save Internal Medicine 221 Ne Glen Oak Ave, Peoria, IL 61636 2013-07-31
1164474755 Methodist Medical Center of Illinois General Acute Care Hospital 221 Ne Glen Oak Ave, Peoria, IL 61636 2006-05-16
1871560623 Minna Jinn O'leary Psychiatry & Neurology 221 Ne Glen Oak Ave, Peoria, IL 61636 2006-03-01
1568901544 Stephanie Ann Sullivan Nurse Anesthetist, Certified Registered Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 2017-02-23
1073066155 Caroline Vanaman Counselor 221 Ne Glen Oak Ave # 7w, Peoria, IL 61636-0001 2016-07-26
1497141758 Amber Hemminger Registered Nurse 200 Ne Glen Oak Ave, Peoria, IL 61636-0001 2015-04-13
Find all providers in zip 61636

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013474071 Vitalz Anesthesia Unlimited LLC Nurse Anesthetist, Certified Registered 6708 N Knoxville Ave Ste 1, Peoria, IL 61614-2863 2019-02-26
1568901544 Stephanie Ann Sullivan Nurse Anesthetist, Certified Registered Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 2017-02-23
1033365291 Mathew J Maupin Nurse Anesthetist, Certified Registered 5401 N. Knoxville Suite 416, Peoria, IL 61528 2008-08-07
1285802678 Jenny Kunvarji Shah Nurse Anesthetist, Certified Registered 802 W Trailcreek Dr, Cosmetic Surgery Care, Peoria, IL 61614-1862 2008-02-19
1003919382 Melissa Terhark Nurse Anesthetist, Certified Registered 8600 North State Route 91, Suite #250, Peoria, IL 61615 2006-09-05
1760419600 Kristen L Manning Nurse Anesthetist, Certified Registered 8600 N State Route 91 Suite 250, Peoria, IL 61615-9506 2006-06-27
1518903798 Marcus D Weeks Nurse Anesthetist, Certified Registered 8600 N State Route 91 Ste 250, Peoria, IL 61615-9506 2006-06-22
1942278130 Larry J Kotewa Nurse Anesthetist, Certified Registered 124 W Whitehall Ct, Peoria, IL 61614-3032 2006-03-14
1588651566 Timothy James Samolitis Nurse Anesthetist, Certified Registered 8600 N. State Route 91, Suite 250, Peoria, IL 61615 2005-10-04
1699761726 Ann M Willemsen-dunlap Nurse Anesthetist, Certified Registered 8600 State Route 91 Ste 250, Peoria, IL 61615-7831 2005-09-23
Find all providers in PEORIA

Competitor

Search similar providers

City PEORIA
Zip Code 61636

Improve Information

Please comment or provide details below to improve the information on BRADLEY REATHERFORD.

Dataset Information

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.

Trending Searches