KRISTINA BRADLEY (NPI# 1598256687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4702085489 | MI | Nursing Service Providers |
| 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 |
| Street Address |
13575 LESURE ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48227-3131 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 48227 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| 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. |
| 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 |
| Find all providers in DETROIT | ||||
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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.