ROBERTA B. BRADLEY (NPI# 1336241777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336241777 |
| Entity Type | Individual |
| Full Name | ROBERTA B. BRADLEY |
| Credential | APRN, BC |
| Practice Address |
601 Benton Avenue Nashville TN 37204 |
| Mailing Address |
222 Godchaux Hall 46121st Ave So Nashville TN 37240-0001 |
| Practice Telephone | 6152929770 |
| Practice Fax Number | 6152929706 |
| Mailing Telephone | 6153433250 |
| Mailing Fax Number | 6153433327 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN5355 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APN5355 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | MB1063091 | 01 |
| Street Address |
601 BENTON AVENUE |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912191222 | Helen Catherine Hughes Spencer | Nurse Practitioner | 601 Benton Avenue, Nashville, TN 37204-2303 | 2007-08-29 |
| 1184727018 | Clare D. Sullivan | Nurse Practitioner | 601 Benton Avenue, Nashville, TN 37204 | 2006-09-06 |
| 1437252368 | Anne C. Williford | Nurse Practitioner | 601 Benton Avenue, Nashville, TN 37204 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304893 | Results-ast Jv, LLC | Physical Therapist | 2659 8th Avenue South, Nashville, TN 37204 | 2020-10-21 |
| 1811516933 | Kinsley Ojukwu | Student in an Organized Health Care Education/Training Program | Oho Primary Care North, 719 Thompson Ln Suite 20400, Nashville, TN 37204 | 2020-04-09 |
| 1649777350 | Ian Bentley | Student in an Organized Health Care Education/Training Program | 719 Thompson Lane, Pod B, Nashville, TN 37204 | 2018-04-09 |
| 1134622160 | Joshua Shane Carty | Student in an Organized Health Care Education/Training Program | 719 Thompson Ln Pod A, Nashville, TN 37204 | 2018-03-15 |
| 1205340197 | Cam LLC | Chiropractor | 2694 Fessey Ct., Nashville, TN 37204 | 2017-11-30 |
| 1679097141 | Lacey Cross | Nurse Practitioner | 2694 Fessey Court, Nashville, TN 37204 | 2017-07-27 |
| 1346763042 | Lucy Elaine Davidson | Counselor | 416 East Iris Dr., Nashville, TN 37204 | 2017-07-25 |
| 1316468358 | Jasmine Kennedy Jester | Counselor | 717 Hart Lane, Nashville, TN 37204 | 2017-06-29 |
| 1447789649 | Jessica Ramey | Counselor | 4623 Trousdale Drive, Nashville, TN 37204 | 2017-06-09 |
| 1023555893 | Anna Claire Lowder | Marriage & Family Therapist | 701 Bradford Avenue, Nashville, TN 37204 | 2017-01-31 |
| Find all providers in zip 37204 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1629684568 | Kathryn Ann Vago | Nurse Practitioner | 320 Doe Ridge Ct, Nashville, TN 37214-4741 | 2020-09-16 |
| 1275149163 | Courtney Lee Hunt | Nurse Practitioner | 5202 Centennial Blvd Ste 110, Nashville, TN 37209-1478 | 2020-09-16 |
| 1205441276 | Amy J Evans | Nurse Practitioner | 912a Spain Ave, Nashville, TN 37216-3625 | 2020-09-15 |
| 1285248898 | Stephanie Logan | Nurse Practitioner | 4720 Brighton Village Dr Unit A8, Nashville, TN 37211-6672 | 2020-09-01 |
| 1811500739 | Lauren Megan Jones | Nurse Practitioner | 1204b N 6th St, Nashville, TN 37207-5518 | 2020-08-29 |
| 1841802741 | Shasti Miller | Nurse Practitioner | 512 Old Hickory Blvd Apt 1819, Nashville, TN 37209-6104 | 2020-08-20 |
| 1770193633 | Nesheba Joy Facey-thomas | Nurse Practitioner | 1413 Ramble Hill Cir, Nashville, TN 37211-8530 | 2020-08-05 |
| Find all providers in NASHVILLE | ||||
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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.