MS. JEANINE MARIE BRADLEY (NPI# 1477190767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477190767 |
| Entity Type | Individual |
| Full Name | MS. JEANINE MARIE BRADLEY |
| Credential | ARNP |
| Practice Address |
822 South 17th Street Clarinda IA 51632 |
| Mailing Address |
2769 205th Street Clarinda IA 51632 |
| Practice Telephone | 7125420702 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A112514 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194713792 | Jeanine M Bradley | Pharmacist | 345 Monterra Dr, Port Angeles, WA 98362-9574 | 2005-10-09 |
| 1881734051 | Jeanine M Bradley | Speech-Language Pathologist | 1110 N Westwood Blvd, Poplar Bluff, MO 63901-3336 | 2007-02-07 |
| Street Address |
822 SOUTH 17TH STREET |
| City | CLARINDA |
| State | IA |
| Zip Code | 51632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568011203 | Valeria V. Stickler | Specialist | 125 E Washington Street, Suite B, Clarinda, IA 51632 | 2019-09-05 |
| 1982953360 | Katie Louise Abold | Counselor | 1820 North 16th St, Clarinda, IA 51632 | 2012-08-31 |
| 1922295245 | Assisted Living Concepts Inc | Assisted Living Facility | 920 West Garfield, Clarinda, IA 51632 | 2007-10-01 |
| 1841480357 | Kevin L Ketter | Physical Therapist | 17th St.and Wells St., Clarinda Regional Health Center, Clarinda, IA 51632 | 2007-07-31 |
| 1053520056 | Mitchell John Hargin | Chiropractor | 218 N 16th Street, Clarinda, IA 51632 | 2007-05-22 |
| 1679789614 | Robin L. Moeller-sunderman | Social Worker | Southwest Iowa Families, 215 E. Washington St., Clarinda, IA 51632 | 2007-05-15 |
| 1780898346 | Clarinda Regional Health Center | Durable Medical Equipment & Medical Supplies | 823 South 17th Street, Clarinda, IA 51632 | 2007-05-10 |
| 1245364728 | Teresa B Rosales | Psychiatry & Neurology | 1800 North 16th St., Clarinda, IA 51632 | 2007-03-15 |
| 1306915871 | Robert D Nassen | Dentist | 109 1 2 E Main St, Clarinda, IA 51632 | 2006-11-07 |
| 1790873982 | Rob Hickman | Counselor | 215 E Washington, Clarinda, IA 51632 | 2006-10-11 |
| Find all providers in zip 51632 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891286118 | Brittney Lynne Hill | Nurse Practitioner | 220 Essie Davison Dr, Clarinda, IA 51632-2915 | 2018-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950032 | Mary Christine Pope | Nurse Practitioner | 1023 E Avenue, Scranton, IA 51462-7520 | 2020-10-23 |
| 1922607936 | Alisse Anna Diers | Nurse Practitioner | 346 2nd Ave Sw # 303, Cedar Rapids, IA 52404-2045 | 2020-10-21 |
| 1043818941 | Leslie Brooke Charleville | Nurse Practitioner | 10001 95th Ave, Indianola, IA 50125-7181 | 2020-10-13 |
| 1467050674 | Sarah Schoner | Nurse Practitioner | 801 East Grand Avenue, Mount Pleasant, IA 52641 | 2020-10-12 |
| 1669088654 | Jinxia Peng | Nurse Practitioner | 9823 Biscayne Dr, Johnston, IA 50131-3002 | 2020-09-16 |
| 1093320392 | Ryan Michael Winder | Nurse Practitioner | 615 A Ave Se, Mount Vernon, IA 52314-1532 | 2020-09-14 |
| 1659986594 | Matthew John Garred | Nurse Practitioner | 420 Driftwood Ct, Sioux City, IA 51104-2200 | 2020-09-08 |
| 1699389882 | Mary Ann Shaw | Nurse Practitioner | 207 W Main Ave, Rockford, IA 50468-1213 | 2020-09-04 |
| 1588277404 | Alyson Seamer | Nurse Practitioner | 8455 Ridgeview Dr, Des Moines, IA 50320-6954 | 2020-08-29 |
| 1114530045 | Brittany Ann Enlow | Nurse Practitioner | 620 E Washington St, Washington, IA 52353-2031 | 2020-08-29 |
| Find all providers with the same taxonomy | ||||
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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.