VICTORIA BRADFORD (NPI# 1356712939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356712939 |
| Entity Type | Individual |
| Full Name | VICTORIA BRADFORD |
| Practice Address |
2019 Bowman St Shreveport LA 71101-2001 |
| Practice Telephone | 3183472105 |
| Practice Fax Number | 3182265994 |
| Mailing Telephone | 3183472105 |
| Mailing Fax Number | 3182265994 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 200150212 | LA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841817111 | Victoria Bradford | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-07-02 |
| 1194091348 | Victoria Ann Bradford | Anesthesiology | 800 Rose St, Lexington, KY 40536-0001 | 2012-03-31 |
| Street Address |
2019 BOWMAN ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821625757 | Shacarria Nashelle Owens | Licensed Practical Nurse | 1121 Heatherwood Dr, Shreveport, LA 71107-5534 | 2020-03-23 |
| 1750947768 | Bianca Jade Struggs | Licensed Practical Nurse | 3341 Youree Dr # 205, Shreveport, LA 71105-2149 | 2019-05-15 |
| 1538655402 | Tyquanna Burns | Licensed Practical Nurse | 6899 Patrick Ln Ste B3, Shreveport, LA 71129-9476 | 2018-07-03 |
| 1114459666 | Altrecia L Jackson | Licensed Practical Nurse | 7209 Louise St, Shreveport, LA 71108-4844 | 2017-04-03 |
| 1609210228 | Paige D Burton | Licensed Practical Nurse | 7494 N Lakeshore Dr, Shreveport, LA 71107-8575 | 2013-04-25 |
| 1306073473 | Angela Laroe | Licensed Practical Nurse | 9514 Primrose Ln, Shreveport, LA 71118-4022 | 2009-06-16 |
| 1093334484 | Yvette Deem | Licensed Practical Nurse | 1440 Hawn Ave, Shreveport, LA 71107-6532 | 2020-04-15 |
| 1700419850 | Janet Douglas | Licensed Practical Nurse | 1440 Hawn Ave, Shreveport, LA 71107-6532 | 2020-02-18 |
| 1629620083 | Catie Arnold Griffith | Licensed Practical Nurse | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2019-07-15 |
| 1134780778 | Donesha Newton | Licensed Practical Nurse | 3341 Youree Dr Ste 205, Shreveport, LA 71105-2149 | 2019-06-25 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on VICTORIA BRADFORD.
| 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.