MISS KRISTIN CAROLYN BRADLEY (NPI# 1619160454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619160454 |
| Entity Type | Individual |
| Full Name | MISS KRISTIN CAROLYN BRADLEY |
| Credential | F.N.P |
| Practice Address |
2555 W Midway Blvd Broomfield CO 80020-1632 |
| Practice Telephone | 3034384436 |
| Practice Fax Number | 3034384437 |
| Mailing Telephone | 3034384436 |
| Mailing Fax Number | 3034384437 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2011-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
990147 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
335219 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573049 | Kristin M Bradley | Dentist | 70 N Main St, White River Junction, VT 05001-7061 | 2020-06-19 |
| 1811511744 | Kristin Marie Bradley | Nurse Practitioner | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2020-06-06 |
| 1790329308 | Kristin Bradley | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2019-11-06 |
| 1407225691 | Kristin Bradley | Pharmacist | 2215 Fuller Rd, Pharmacy Service (119), Ann Arbor, MI 48105-2303 | 2015-09-18 |
| 1144456906 | Kristin Meredith Bradley | Social Worker | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2009-06-08 |
| 1669643060 | Kristin R Bradley | Nurse Practitioner | 2215 44th St Sw, Wyoming, MI 49519-6439 | 2008-03-13 |
| 1285831966 | Kristin Neely Bradley | Occupational Therapist | 716 Sipes St, Kings Mountain, NC 28086-2716 | 2007-06-27 |
| 1114132974 | Kristin Nicole Bradley | Physical Therapy Assistant | 6400 N Santa Fe Ave, Ste. B, Oklahoma City, OK 73116-9126 | 2007-05-14 |
| 1295798718 | Kristin Bradley | Radiology | 600 Highland Ave, Madison, WI 53792 | 2006-04-07 |
| Street Address |
2555 W MIDWAY BLVD |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80020-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455157 | Faith Emma Olson | Nurse Practitioner | 2550 Winding River Dr Unit C1, Broomfield, CO 80023-6545 | 2020-10-23 |
| 1548869860 | Colleen R Newvine | Nurse Practitioner | 2831 W 133rd Ave, Broomfield, CO 80020-5263 | 2020-10-19 |
| 1508480724 | Colton Grant Miller | Nurse Practitioner | 14531 Prairie Sky Ln, Broomfield, CO 80023-8771 | 2020-06-03 |
| 1487276507 | Marie Louise Richardson | Nurse Practitioner | 3101 Hourglass Pl, Broomfield, CO 80023-8025 | 2020-05-12 |
| 1447893110 | Stephanie Lynn Kipp | Nurse Practitioner | 5023 W 120th Ave # 312, Broomfield, CO 80020-5606 | 2019-10-24 |
| 1366998734 | Lisa Shaheen | Nurse Practitioner | 4644 Winona Pl, Broomfield, CO 80020-5647 | 2016-08-26 |
| 1972919421 | Melissa Ginsburg | Nurse Practitioner | 12516 Whippoorwill St, Broomfield, CO 80020-7918 | 2014-07-04 |
| 1689013377 | Catherine Encinias Felson | Nurse Practitioner | 3111 W 127th Ave, Broomfield, CO 80020-5811 | 2013-06-17 |
| 1780907147 | Kelly Pauline Krieger | Nurse Practitioner | 11935 Quay St, Broomfield, CO 80020-2816 | 2010-03-12 |
| 1578610572 | Rhita Pacheco-bax | Nurse Practitioner | 14875 Irving St, Broomfield, CO 80020-9409 | 2007-01-04 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80020 |
Please comment or provide details below to improve the information on MISS KRISTIN CAROLYN BRADLEY.
| 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.