MRS. SHANTELL BRADLEY (NPI# 1417432295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417432295 |
| Entity Type | Individual |
| Full Name | MRS. SHANTELL BRADLEY |
| Practice Address |
1 Bailey Dr Massapequa NY 11758-3602 |
| Practice Telephone | 5167990389 |
| Mailing Telephone | 5167990389 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 238451 | NY | Nursing Service Providers |
| Street Address |
1 BAILEY DR |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
| 1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
| 1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
| 1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| 1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
| 1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
| Find all providers in zip 11758 | ||||
| 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 |
|---|---|---|---|---|
| 1932708252 | Reva Kumari | Licensed Practical Nurse | 277 Clocks Blvd, Massapequa, NY 11758-7739 | 2020-10-19 |
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1801364435 | Alexandra L Dwyer | Licensed Practical Nurse | 4238 Merrick Rd, Massapequa, NY 11758-6016 | 2018-11-13 |
| 1699223479 | Julie Cranker | Licensed Practical Nurse | 240 Seaford Ave, Massapequa, NY 11758-7054 | 2016-09-21 |
| 1689024531 | Sarah Ramlogan | Licensed Practical Nurse | 16 Nancy Pl, Massapequa, NY 11758-4320 | 2016-06-21 |
| 1396192357 | Keisha Miller | Licensed Practical Nurse | 54 Francine Ave, Massapequa, NY 11758-3613 | 2016-05-19 |
| 1760854921 | Lori-marie Costa | Licensed Practical Nurse | 21 Cottage Dr, Massapequa, NY 11758-6127 | 2015-10-28 |
| 1477963841 | Sabine Mesias | Licensed Practical Nurse | 51 E Grove St, Massapequa, NY 11758-5430 | 2014-05-06 |
| 1891033452 | Jennifer Marie Voigt | Licensed Practical Nurse | 73 Bernard St, Massapequa, NY 11758-3606 | 2013-01-16 |
| 1548505167 | Nina Modest | Licensed Practical Nurse | 9 Camp Rd, Massapequa, NY 11758-3743 | 2012-12-07 |
| Find all providers in MASSAPEQUA | ||||
| City | MASSAPEQUA |
| Zip Code | 11758 |
Please comment or provide details below to improve the information on MRS. SHANTELL BRADLEY.
| 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.