SHERRY ANN BRADLEY (NPI# 1619401650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619401650 |
| Entity Type | Individual |
| Full Name | SHERRY ANN BRADLEY |
| Practice Address |
3270 Kerner Blvd San Rafael CA 94901-4840 |
| Mailing Address |
29 Mary St San Rafael CA 94901-3507 |
| Practice Telephone | 4154736004 |
| Mailing Telephone | 4155267500 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811254089 | Sherry J Bradley | Counselor | 1047 E Brandon Blvd, Brandon, FL 33511-5515 | 2012-04-12 |
| 1023629177 | Sherry Lynn Bradley | Pharmacist | 14100 Spring Cypress Rd, Cypress, TX 77429-6286 | 2020-08-12 |
| 1275097263 | Sherry Janel Bradley | Licensed Practical Nurse | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2019-01-24 |
| Street Address |
3270 KERNER BLVD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730108549 | Kristine Y Kwok | Social Worker | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2006-07-19 |
| 1124655014 | Nhan Pham | Case Manager/Care Coordinator | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2020-03-23 |
| 1609409481 | Maggie M Mclain | Marriage & Family Therapist | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2020-02-19 |
| 1588219786 | Scott Casey Berger | Student in an Organized Health Care Education/Training Program | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2019-08-05 |
| 1215581368 | Kevin Omar Rodriguez | Student in an Organized Health Care Education/Training Program | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2019-07-26 |
| 1821578196 | Carrie Coats | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901 | 2018-08-16 |
| 1659858405 | Veronica Ponce | Rehabilitation Practitioner | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2018-07-24 |
| 1730613324 | Community Action Marin | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2017-04-20 |
| 1326581422 | Jose Cesar Leiva | Rehabilitation Practitioner | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2016-11-22 |
| 1295286243 | Trien Nguyen | Counselor | 3270 Kerner Blvd, Suite B, San Rafael, CA 94901-4840 | 2016-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982748588 | Irene Grace Birch | Rehabilitation Practitioner | 3020 Kerner Blvd, Suite A, San Rafael, CA 94901-5444 | 2007-02-16 |
| 1659935161 | Percy Scott | Rehabilitation Practitioner | 3230 Kerner Blvd, San Rafael, CA 94901 | 2019-04-30 |
| 1174096937 | Emilia Olavarrieta | Rehabilitation Practitioner | 920 Grand Ave, San Rafael, CA 94901-3506 | 2019-01-04 |
| 1720561335 | Christiana Rebecca Bosscher | Rehabilitation Practitioner | 13 Peter Behr Dr, San Rafael, CA 94903-5216 | 2018-09-10 |
| 1659858405 | Veronica Ponce | Rehabilitation Practitioner | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2018-07-24 |
| 1245725290 | Irish Krings | Rehabilitation Practitioner | 920 Grand Ave, San Rafael, CA 94901-3506 | 2018-06-22 |
| 1578089793 | Tanya Hunt | Rehabilitation Practitioner | 3270 Kerner Blvd Ste B, San Rafael, CA 94901-4840 | 2017-08-18 |
| 1871016931 | Keyanna Rene Learson | Rehabilitation Practitioner | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2017-07-20 |
| 1972026425 | Deborah Ruth Berenboim | Rehabilitation Practitioner | 4020 Civic Center Dr, San Rafael, CA 94903 | 2017-07-17 |
| 1326581422 | Jose Cesar Leiva | Rehabilitation Practitioner | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2016-11-22 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on SHERRY ANN 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.