CATHY A BRADLEY (NPI# 1427060847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427060847 |
Entity Type | Individual |
Full Name | CATHY A BRADLEY |
Credential | FNP |
Practice Address |
521 Main Street Presque Isle ME 04769 |
Practice Telephone | 2077649700 |
Practice Fax Number | 2077649703 |
Mailing Telephone | 2077649700 |
Mailing Fax Number | 2077649703 |
Enumeration Date | 2006-08-13 |
Last Update Date | 2020-02-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R039083 | ME | Physician Assistants & Advanced Practice Nursing Providers |
Y | 364S00000X | Clinical Nurse Specialist | CNP81391 | ME | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | AETNA ID | 3670340 | 01 |
ME | ANTHEM ID# | 100064 | 01 |
ME | 252580099 | 05 |
Street Address |
521 MAIN STREET |
City | PRESQUE ISLE |
State | ME |
Zip Code | 04769 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871088070 | Hong Na Yang | Dentist | 122 Academy Street, Presque Isle, Presque Isle, ME 04769 | 2018-06-29 |
1588185409 | Dwight David Hubacher | Physical Therapy Assistant | 162 Academy Strret, Presque Isle, ME 04769 | 2017-06-30 |
1831561562 | Vna Home Health & Hospice | Home Health | 18 Green Hill Rd Ste 1, Presque Isle, ME 04769 | 2015-10-21 |
1225439581 | A & L Clinical Services | Community/Behavioral Health | 742 Main Street, Presque Isle, ME 04769 | 2014-09-05 |
1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
1669659603 | Susan Cambridge Dick | Occupational Therapist | 10 Bernadette, Caribou Rehab and Nursing Center, Caribou, ME 04769 | 2008-01-22 |
1285826792 | Osama Aziz | Internal Medicine | 146 Academy St, Suite 1b, The Aroostook Medical Center, Presque Isle, ME 04769 | 2007-08-17 |
1831220250 | Rachel Mary Swartz | Obstetrics & Gynecology | 140 Academy St Ste 4, Presque Isle, ME 04769 | 2007-03-08 |
1114053634 | Ralph U Scheidler | Social Worker | 20 Dyer Street, Community Care, Presque Isle, ME 04769 | 2007-02-26 |
1427158716 | Venkatram Nethala | Internal Medicine | 146 Academy Street, Suite 1b, Presque Isle, ME 04769 | 2006-09-25 |
Find all providers in zip 04769 |
Taxonomy Code | 364S00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912027384 | Louise L Davis | Clinical Nurse Specialist | 121 Middle Street, Suite 404, Portland, ME 04101-4156 | 2007-03-30 |
1386677904 | Pamela M Florea | Clinical Nurse Specialist | 100 Foden Rd., West, Suite 100, South Portland, ME 04106-2327 | 2006-07-08 |
1396986543 | Bruce Coffin | Clinical Nurse Specialist | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2009-03-18 |
1316167109 | Beverly Jean Chasse | Clinical Nurse Specialist | 322 Main St, Bar Harbor, ME 04609-1648 | 2007-04-26 |
1699739409 | Anita J Schlemann | Clinical Nurse Specialist | 100 Foden Rd, West, Suite 203, Portland, ME 04106-2327 | 2006-04-17 |
City | PRESQUE ISLE |
Zip Code | 04769 |
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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.