TASIA BATES BRADFORD (NPI# 1366999195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366999195 |
| Entity Type | Individual |
| Full Name | TASIA BATES BRADFORD |
| Credential | CRNP |
| Practice Address |
209 W Spring St Ste 102 Sylacauga AL 35150 |
| Mailing Address |
209 W Spring St Ste 102 Sylacauga AL 35150-2974 |
| Practice Telephone | 2564014686 |
| Practice Fax Number | 2564014520 |
| Mailing Telephone | 2564014686 |
| Mailing Fax Number | 2564014520 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-110150 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3980 Colonnade Pkwy, Birmingham, AL 352432382 | 2055105000 | 2055999056 |
| Street Address |
209 W SPRING ST STE 102 |
| City | SYLACAUGA |
| State | AL |
| Zip Code | 35150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830934 | Casey Delane Sumner | Pharmacist | 1930 Pleasant Ridge Loop, Sylacauga, AL 35150 | 2020-10-30 |
| 1043870231 | Rehab and Wellness Clinic, LLC | Pain Medicine | 234 North Broadway, Sylacauga, AL 35150 | 2019-06-19 |
| 1083831804 | Coosa Valley Urology, P.C. | Specialist | 16 South Douglas Avenue, Sylacauga, AL 35150 | 2007-04-20 |
| 1689720641 | John Sidney Mcpeters | Dentist | 1604 Talladega Hwy, Dr John S Mcpeters, Sylacauga, AL 35150 | 2007-01-25 |
| 1972652386 | David Paul Currie | Dentist | 499 W 3rd St, Sylacauga, AL 35150 | 2007-01-09 |
| 1336221647 | Thomas M Kines | Optometrist | 493 W 3rd Street, Sylacauga, AL 35150 | 2006-10-19 |
| 1275623639 | Charles E. Singleton | Surgery | 208 West Spring Street, Suite 300, Sylacauga, AL 35150 | 2006-10-13 |
| 1881794410 | Said Y Salman | Durable Medical Equipment & Medical Supplies | 122 N Broadway Ave, Sylacauga, AL 35150 | 2006-09-24 |
| 1952416141 | Bruno's Supermarkets, LLC. | Durable Medical Equipment & Medical Supplies | 1301 West Ft Williams, Sylacauga, AL 35150 | 2006-08-20 |
| 1508818444 | Thaddeus Frazell Coleman | Radiology | 113 West Clay Street, Sylacauga, AL 35150 | 2006-05-17 |
| Find all providers in zip 35150 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831617554 | Davona Sheyvon Laurin | Nurse Practitioner | 40900 Us Highway 280, Sylacauga, AL 35150-6838 | 2017-09-01 |
| 1700416369 | Meredith Fruth | Nurse Practitioner | 40900 Us Highway 280, Sylacauga, AL 35150-6838 | 2020-01-23 |
| 1265091771 | Marilee Agnes Platzek | Nurse Practitioner | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2019-06-08 |
| 1639647225 | Jennifer Mizzell Sylestine | Nurse Practitioner | 208 W Fort Williams St, Sylacauga, AL 35150-2432 | 2018-11-13 |
| 1700323151 | James David Miller | Nurse Practitioner | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2017-01-24 |
| 1760848360 | Frankie H Wallis | Nurse Practitioner | 115 W Clay St, Sylacauga, AL 35150-3413 | 2016-01-12 |
| 1841672185 | Tinsley Smallwood Forbus | Nurse Practitioner | 110 S Anniston Ave, Sylacauga, AL 35150-2961 | 2015-06-23 |
| 1417380494 | Karie Bowers | Nurse Practitioner | 1023 W Fort Williams St, Sylacauga, AL 35150-2301 | 2013-08-14 |
| 1801137898 | Julie Evelyn Boycott | Nurse Practitioner | 115 W Clay St, Sylacauga, AL 35150-3413 | 2013-03-15 |
| 1811974827 | Darlene Mathis | Nurse Practitioner | 115 W Clay St, Sylacauga, AL 35150-3413 | 2005-12-30 |
| Find all providers in SYLACAUGA | ||||
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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.