MRS. NATALIE SHEA BRADFORD (NPI# 1558657999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558657999 |
| Entity Type | Individual |
| Full Name | MRS. NATALIE SHEA BRADFORD |
| Credential | PA-C |
| Practice Address |
819 W Carpenter St Benton AR 72015-3349 |
| Practice Telephone | 5017788264 |
| Practice Fax Number | 5017787360 |
| Mailing Telephone | 5017788264 |
| Mailing Fax Number | 5017787360 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2012-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-479 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811083223 | Natalie Rose Bradford | Physical Therapist | 792 College Parkway, Suite 201, Colchester, VT 05446 | 2006-10-04 |
| 1861713505 | Natalie Steele Bradford | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-4301 | 2010-06-17 |
| Street Address |
819 W CARPENTER ST |
| City | BENTON |
| State | AR |
| Zip Code | 72015-3349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558330969 | Arkansas Health Group | Family Medicine | 819 W Carpenter St, Benton, AR 72015-3349 | 2006-03-16 |
| 1427416254 | Teresa Michelle Whitwell | Nurse Practitioner | 819 W Carpenter St, Benton, AR 72015-3349 | 2016-02-08 |
| 1992181051 | Alissa Gayle Green | Nurse Practitioner | 819 W Carpenter St, Benton, AR 72015-3349 | 2015-07-30 |
| 1023077336 | Stewart Gregory Johnston | Family Medicine | 819 W Carpenter St, Benton, AR 72015-3349 | 2006-03-23 |
| 1528027828 | Charles Russell Burton | Family Medicine | 819 W Carpenter St, Benton, AR 72015-3349 | 2006-03-23 |
| 1851350128 | David Lewis Stewart | Family Medicine | 819 W Carpenter St, Benton, AR 72015-3349 | 2006-03-23 |
| 1992764518 | Chrysti Lyn Williams | Family Medicine | 819 W Carpenter St, Benton, AR 72015-3349 | 2006-03-22 |
| 1457310476 | Cara Beth Ballard | Family Medicine | 819 W Carpenter St, Benton, AR 72015-3349 | 2006-03-20 |
| 1134188063 | Mark Anthony Vice | Family Medicine | 819 W Carpenter St, Benton, AR 72015-3349 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982115218 | Tabitha Jaggers | Physician Assistant | 1000 Hwy 35 N Ste 8, Benton, AR 72019-2353 | 2017-10-13 |
| 1699084814 | Travis James Weiss | Physician Assistant | 6724 State Highway 77, Benton, MO 63736-8238 | 2010-10-05 |
| 1942282660 | Rma-operating, Inc. | Physician Assistant | 83 Wellness Way, Benton, KY 42025-7156 | 2005-11-17 |
| 1700354933 | Tyler L Childs | Physician Assistant | 1000 Hwy 35 N Ste 8, Benton, AR 72019-2353 | 2018-11-06 |
| 1285180281 | Ashley Martindale | Physician Assistant | 105 Mcneil St, Benton, AR 72015-3345 | 2016-08-30 |
| 1790150498 | Stefani R Ford | Physician Assistant | 1000 Highway 35 N, Suite 8, Benton, AR 72019-2351 | 2015-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271082 | Megan Breanna Albers | Physician Assistant | 100 Broadhurst St, Siloam Springs, AR 72761-4081 | 2019-02-14 |
| 1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
| 1700281938 | Carol J Trana | Physician Assistant | 4301 West Markham St, #748, Little Rock, AR 72205-7199 | 2014-10-30 |
| 1790011005 | Cassandra Lynn Ganus | Physician Assistant | 205 E Race Ave, Searcy, AR 72143-4329 | 2009-10-20 |
| 1699008672 | Robin Lynn Isaacks | Physician Assistant | 821 East Park Street, Highway 70, Carlisle, AR 72024 | 2009-09-09 |
| 1194966374 | Daniel Shane Briley | Physician Assistant | 2125 E Main St Ste 10, Siloam Springs, AR 72761-5576 | 2009-03-17 |
| 1619128360 | Stacie Renee Smith | Physician Assistant | 47 Hwy 64 W, Beebe, AR 72012-9500 | 2008-09-30 |
| 1861669541 | Gregory D Mills | Physician Assistant | 300 East Main, Swifton, AR 72471-0000 | 2008-05-13 |
| 1194990366 | Michelle Lee Manthe | Physician Assistant | 1615 W Persimmon St Ste B, Rogers, AR 72756-3383 | 2008-04-28 |
| 1558561431 | Jayme Mayo | Physician Assistant | 612 Garland St, Conway, AR 72032-4418 | 2007-07-19 |
| 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.