TRINE BRADSHAW


Address: 9709 E Impala Ave, Mesa, AZ 85209-7044
Phone: 4802425588

TRINE BRADSHAW (NPI# 1396101077) 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) 1396101077
Entity Type Individual
Full Name TRINE BRADSHAW
Credential IBCLC
Practice Address 9709 E Impala Ave
Mesa
AZ 85209-7044
Practice Telephone 4802425588
Enumeration Date 2016-01-11
Last Update Date 2016-01-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174N00000X Lactation Consultant, Non-RN L-17897 AZ Other Service Providers

Office Location

Street Address 9709 E IMPALA AVE
City MESA
State AZ
Zip Code 85209-7044

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013539568 Wingfoot Wellness & Hormones LLC Nurse Practitioner 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 2020-05-07
1558916247 Shiny Susan Thomas Family Medicine 7615,east Baseline Road, Mesa, AZ 85209 2019-08-08
1245798933 Premier Care Medical Services Pllc Clinic/Center 7363 E Naranja Ave, Mesa, AZ 85209 2019-03-12
1518450568 Mhb Services Internal Medicine 1301 S Crismon Road, Mesa, AZ 85209 2018-06-13
1174012934 Andrew Swenson Student in an Organized Health Care Education/Training Program 10238 E. Hampton #406, Mesa, AZ 85209 2018-05-08
1689196057 Monica R Meyer Registered Nurse 2424 S Rowen, Mesa, AZ 85209 2017-07-07
1629507041 Rachel Ann Navarro Occupational Therapist 10431 E Natal Ave, Mesa, AZ 85209 2017-06-08
1073041331 Michelle Resendez Nurse Practitioner 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 2017-05-31
1275069569 Michelle Amado Nurse Practitioner 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 2017-05-04
1982138079 Warren Brent Thomas Nurse Anesthetist, Certified Registered 10632 E Kiva Ave, Mesa, AZ 85209 2017-04-14
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Taxonomy Information

Taxonomy Code 174N00000X
Grouping Other Service Providers
Classification Lactation Consultant, Non-RN

Taxonomy Definition

An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
Notes: Source: National Uniform Claim Committee [1/1/2011: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366072266 Mirishka Elizabeth Gill Lactation Consultant, Non-RN 139 N 85th Pl, Mesa, AZ 85207-8669 2020-01-19
1063073963 Heather Marie Evans Lactation Consultant, Non-RN 9233 E Neville Ave Unit 1112, Mesa, AZ 85209-1511 2019-06-22
1033464649 Jennie L Bever Lactation Consultant, Non-RN 2629 W Laguna Azul Ave, Mesa, AZ 85202-6324 2012-07-19
1952637084 Jacqueline Anne Norris Lactation Consultant, Non-RN 2240 E El Moro Ave, Mesa, AZ 85204-4523 2009-10-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649894379 Rhegan Riane Derfus Lactation Consultant, Non-RN 3865 Barraco Dr, Sierra Vista, AZ 85650-4211 2020-05-28
1639642861 Emily Barnes Lactation Consultant, Non-RN 285 N Kenneth Pl, Chandler, AZ 85226-2944 2019-01-10
1699269878 Sarah Grace Clay Lactation Consultant, Non-RN 8400 S Kyrene Rd Ste 125, Tempe, AZ 85284-2172 2018-06-20
1437670635 Kimberly Dawn Moore-salas Lactation Consultant, Non-RN 8400 S Kyrene Rd Ste 126, Tempe, AZ 85284-2172 2017-06-28
1033653456 Carol Kidd Lactation Consultant, Non-RN 3424 W Tanya Trl, Phoenix, AZ 85086-4328 2016-12-05
1043764582 Anna Elizabeth Neuman Singleton Lactation Consultant, Non-RN 3445 N King St, Flagstaff, AZ 86004-2027 2016-08-13
1508319054 Holistic Lactation LLC Lactation Consultant, Non-RN 4717 N 33rd Pl, Phoenix, AZ 85018-3316 2016-08-02
1073972915 Marylou Sandoval Lactation Consultant, Non-RN 3536 W San Juan Ave, Phoenix, AZ 85019-4514 2016-02-21
1013374230 Cynthia Lafferty Lactation Consultant, Non-RN 21120 E Stirrup St, Queen Creek, AZ 85142-6524 2016-01-19
1295191559 Asa Lader Lactation Consultant, Non-RN 3524 E Calle Del Prado, Tucson, AZ 85716-5021 2016-01-01
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Competitor

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City MESA
Zip Code 85209

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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.

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