AMBER P BRADSHAW (NPI# 1487292173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487292173 |
| Entity Type | Individual |
| Full Name | AMBER P BRADSHAW |
| Practice Address |
2855 S Extension Rd Unit 259 Mesa AZ 85210-8282 |
| Practice Telephone | 4809937072 |
| Mailing Telephone | 4809937072 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
2855 S EXTENSION RD UNIT 259 |
| City | MESA |
| State | AZ |
| Zip Code | 85210-8282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770191181 | Valerie Ann Beuschlein | Technician | 1507 N Sterling, Mesa, AZ 85207-3830 | 2020-07-21 |
| 1982255089 | Wendy Clement | Technician | 2219 S El Marino, Mesa, AZ 85202-6471 | 2019-09-20 |
| 1891343760 | Dionne Nick | Technician | 4135 E Crescent Ave, Mesa, AZ 85206-1950 | 2019-09-03 |
| 1962050211 | Ruby Evans | Technician | 11332 E Solina Cir, Mesa, AZ 85212-7038 | 2019-08-29 |
| 1306494794 | Joann Domzalski | Technician | 857 E 8th Pl, Mesa, AZ 85203-5605 | 2019-08-28 |
| 1043867351 | Michelle Guy | Technician | 10452 E Irwin Cir, Mesa, AZ 85209-7722 | 2019-08-21 |
| 1952967788 | Janice Marie Armstrong | Technician | 461 N Yucca Cir, Mesa, AZ 85201-4551 | 2019-05-16 |
| 1225516578 | Yakov Yushuvayev | Technician | 420 E Southern Ave Ste 110a, Mesa, AZ 85204-4945 | 2018-07-30 |
| 1295213544 | Grand Canyon Home Care Inc. | Technician | 420 E Southern Ave Ste 110a, Mesa, AZ 85204-4945 | 2018-07-30 |
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|---|---|---|---|---|
| 1538760525 | Ayomikun Ajulo | Technician | 7426 W Cheryl Dr, Peoria, AZ 85345-6723 | 2020-11-05 |
| 1306458609 | Tammy Kloser | Technician | 21738 N 91st Ln, Peoria, AZ 85382-8345 | 2020-08-18 |
| 1669090114 | Rogers K Bagia | Technician | 3141 W Maldonado Rd, Phoenix, AZ 85041-6372 | 2020-07-10 |
| 1780201087 | Jovanna A Noriega | Technician | 4533 E Rolling Ridge Rd, San Tan Valley, AZ 85140-9576 | 2020-07-02 |
| 1689291320 | Andrew Young | Technician | 9980 N Hacienda Hermosa Dr, Tucson, AZ 85737-3645 | 2020-06-29 |
| 1730706730 | Shindona Duffey | Technician | 16069 W Sierra St, Goodyear, AZ 85338-3575 | 2020-06-25 |
| 1679197883 | Amanda Lee Pethers | Technician | 13820 S 44th St Apt 1129, Phoenix, AZ 85044-4857 | 2020-06-03 |
| 1063049385 | Natacha Clerfond | Technician | 5728 N 67th Dr, Glendale, AZ 85303-4902 | 2020-03-25 |
| 1376177410 | Jo Ann Chavez | Technician | 13561 N Sandra Rd, Marana, AZ 85658-4132 | 2020-02-27 |
| 1639701170 | Penelope Thompson | Technician | 1728 W Elm St, Phoenix, AZ 85015-3865 | 2020-02-11 |
| 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.