MRS. LISA BRADSHAW (NPI# 1447895784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447895784 |
| Entity Type | Individual |
| Full Name | MRS. LISA BRADSHAW |
| Practice Address |
349 Bogle Street Suite B Somerset KY 42503-2895 |
| Mailing Address |
349 Bogle St, Suite B Somerset KY 42503-2895 |
| Practice Telephone | 6064854611 |
| Mailing Telephone | 6064854611 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992080543 | Lisa Ann Bradshaw | Pharmacist | 2041 E Main St, Dothan, AL 36301-3005 | 2011-10-14 |
| 1104906429 | Lisa Marie Bradshaw | Nurse Practitioner | 350 Main St, Haverhill, MA 01830-4036 | 2006-10-17 |
| Street Address |
349 BOGLE STREET SUITE B |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-2895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087466 | Sherry L Young | Case Manager/Care Coordinator | 72 Southland Dr, Somerset, KY 42501-6120 | 2020-09-09 |
| 1144865619 | Twanda Owens Jones | Case Manager/Care Coordinator | 26 Susan Dr, Somerset, NJ 08873-2844 | 2019-11-08 |
| 1043732423 | Skylight Support Group | Case Manager/Care Coordinator | 873 Hamilton St Unit A, Somerset, NJ 08873-3140 | 2017-07-07 |
| 1659893014 | John Okoye | Case Manager/Care Coordinator | 873 Hamilton Street Unit A, Somerset, NJ 08873 | 2017-07-07 |
| 1174052534 | Gina Marie West | Case Manager/Care Coordinator | 100 Hardin Lane Suite 3, Somerset, KY 42501 | 2017-06-08 |
| 1669910162 | Barbara Anne Lewis | Case Manager/Care Coordinator | 3 Lebed Dr, Somerset, NJ 08873-2931 | 2017-02-03 |
| 1285972315 | Tracy E Gosson | Case Manager/Care Coordinator | 40 Rounseville Ave, Somerset, MA 02726-3821 | 2013-01-24 |
| 1871804153 | Kent Farnham Ackley | Case Manager/Care Coordinator | 2626 Riverside Ave, Somerset, MA 02726-5143 | 2010-07-01 |
| 1750536678 | Tina Marie Surber | Case Manager/Care Coordinator | 640 Highway 39, Somerset, KY 42503-2424 | 2008-11-19 |
| 1255593448 | Kristy Marie Lovell | Case Manager/Care Coordinator | 731 Bee Lick Creek Rd, Somerset, KY 42503-5249 | 2008-06-28 |
| Find all providers in SOMERSET | ||||
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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.