KRISTINA BRADLEY


Address: 13575 Lesure St, Detroit, MI 48227-3131
Phone: 3134934410

KRISTINA BRADLEY (NPI# 1598256687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598256687
Entity Type Individual
Full Name KRISTINA BRADLEY
Credential LPN
Practice Address 13575 Lesure St
Detroit
MI 48227-3131
Mailing Address 9263 Piedmont St
Detroit
MI 48228-1726
Practice Telephone 3134934410
Practice Fax Number 3134934415
Mailing Telephone 3133151232
Enumeration Date 2018-05-23
Last Update Date 2018-05-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 4702085489 MI Nursing Service Providers

Other Providers KRISTINA BRADLEY

NPI Name Taxonomy Address Enumeration
1932502960 Kristina Bradley Speech-Language Pathologist 1 Courageous Ct, Unit 510, Salem, MA 01970-6665 2014-10-05
1275029837 Kristina Bradley Behavior Technician 4522 Executive Dr Ste 201, Naples, FL 34119-9014 2018-07-06
1386927234 Kristina Bradley Pharmacist 101 E Reynolds Rd, Lexington, KY 40517-1249 2011-09-27

Office Location

Street Address 13575 LESURE ST
City DETROIT
State MI
Zip Code 48227-3131

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144246281 Lauren Elizabeth Billiu Counselor 13575 Lesure St, Detroit, MI 48227-3131 2006-07-14
1205386927 Tresna Lynn Whiteside Counselor 13575 Lesure St, Detroit, MI 48227-3131 2016-10-05
1942678107 Star Center Clinic/Center 13575 Lesure St, Detroit, MI 48227-3131 2015-09-04
1699142778 Carol Blair Counselor 13575 Lesure St, Detroit, MI 48227-3131 2015-08-25
1174901847 Marcia Freeman Licensed Practical Nurse 13575 Lesure St, Detroit, MI 48227-3131 2015-05-13
1396122818 Star Center Inc. Clinic/Center 13575 Lesure St, Detroit, MI 48227-3131 2015-05-05
1689061913 Terri Collins Licensed Practical Nurse 13575 Lesure St, Detroit, MI 48227-3131 2015-04-24
1770970014 Ora Taylor Licensed Practical Nurse 13575 Lesure St, Detroit, MI 48227-3131 2015-04-24
1063818227 Reginald Leroy Jones Counselor 13575 Lesure St, Detroit, MI 48227-3131 2014-11-14
1720356314 Star Center Rehabilitation Hospital 13575 Lesure St, Detroit, MI 48227-3131 2011-12-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215493549 Sammie Edwards Counselor 15734 Sussex St, Detroit, MI 48227 2019-02-12
1124505698 Unique Home of Love Home Health 15380 Snowden St, Detroit, MI 48227 2018-07-26
1386150977 Saterra Squalls Licensed Practical Nurse 202048 Wyoming St., Detroit, MI 48227 2017-12-19
1952822967 Extremely Blessed LLC Non-emergency Medical Transport (VAN) 11341 Longacre, Detroit, MI 48227 2017-06-29
1669920070 Gina Clark-alexander Technician, Other 14271 Coyle St, Detroit, MI 48227 2016-09-14
1619423613 Rala Jenice Ford Behavioral Analyst 15461 Whitcomb, Detroit, MI 48227 2016-08-30
1376927442 Rena Adell Jackson Homeopath 14881greenfield Rd, Detroit, MI 48227 2015-07-17
1104226786 Loving Heart Home Care In Home Supportive Care 12875 Archdale, Detroit, MI 48227 2014-09-02
1205265709 Edward Cornelius Simmons Massage Therapist 15756 Forrer Street, Detroit, MI 48227 2013-11-05
1851641286 Green Meadows Outreach Ministries Case Management 15901 Rutherford Street, Detroit, MI 48227 2012-09-13
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861006538 David Bradley Licensed Practical Nurse 15540 Prevost St, Detroit, MI 48227-1963 2020-09-01
1215540430 Sheronda Lanetta Blackmon Licensed Practical Nurse 13929 Harper Ave., Detroit, MI 48213 2020-08-27
1518585504 Lesley Dixon Licensed Practical Nurse 16668 Freeland St, Detroit, MI 48235-4500 2020-07-07
1720607237 Nakesta Richardson Licensed Practical Nurse 9994 Bramell, Detroit, MI 48239-1304 2020-04-14
1962021477 Torie Shatita Taylor Licensed Practical Nurse 22556 W Mcnichols Rd, Detroit, MI 48219-3140 2020-04-14
1689203499 Tiffany Nicole Pierce Licensed Practical Nurse 8145 Greenfield Rd, Detroit, MI 48228-2220 2020-04-03
1750917118 Stephanie Renee Williams Licensed Practical Nurse 8919 Prest St, Detroit, MI 48228-2200 2020-03-18
1417581299 Valerie Adeyemi Licensed Practical Nurse 16559 Sorrento St, Detroit, MI 48235-4209 2020-03-02
1386276228 Vikita Franklin Licensed Practical Nurse 16575 Snowden St, Detroit, MI 48235-4274 2020-02-09
1033749387 Lachelle Mylinda Garrett Licensed Practical Nurse 18060 Gruebner St, Detroit, MI 48234-3854 2020-01-24
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Competitor

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City DETROIT
Zip Code 48227

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Dataset Information

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.

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