STEPHANIE BRADLEY-BLUE (NPI# 1639731664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639731664 |
| Entity Type | Individual |
| Full Name | STEPHANIE BRADLEY-BLUE |
| Credential | PC |
| Practice Address |
615 N Birdneck Rd Virginia Beach VA 23451-6368 |
| Practice Telephone | 7574220684 |
| Practice Fax Number | 7574220841 |
| Mailing Telephone | 7574220684 |
| Mailing Fax Number | 7574220841 |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2019-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
615 N BIRDNECK RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23451-6368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
| 1851864094 | Erica Genevieve Johns | Counselor | 253 C Street, Camp Pendleton, Virginia Beach, VA 23451 | 2019-01-10 |
| 1407327729 | Crystal Michelle Larios | Physical Therapy Assistant | Westminster Canterbury, Virginia Beach, VA 23451 | 2018-12-14 |
| 1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
| 1356844427 | Kristina Maria Matthews | Nurse's Aide | 1206 Laskin Road, Suite 140-g, Virginia Beach, VA 23451 | 2018-03-14 |
| 1437652823 | Beach Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 2256 W. Great Neck Rd, Virginia Beach, VA 23451 | 2018-03-13 |
| 1740782291 | Sherree Weeks | Speech-Language Pathologist | 1413 Laskin Rd., Va. Beach, VA 23451 | 2018-03-01 |
| 1649709007 | Christine Herslow | Registered Nurse | 2200 Elder Road, Virginia Beach, VA 23451 | 2017-06-08 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| 1306182795 | John Leroy Stacy Jr. | Counselor | 409 Birdneck Cir, Virginia Beach, VA 23451 | 2012-12-12 |
| Find all providers in zip 23451 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318937 | Paula Elkin | Counselor | 217 Coltan Ave Apt 101, Virginia Beach, VA 23462-4575 | 2020-05-23 |
| 1568084937 | Dayspring Wellness Pllc | Counselor | 1301 First Colonial Rd Ste 200, Virginia Beach, VA 23454-2263 | 2020-05-08 |
| 1528688652 | Luon M Fletcher | Counselor | 3629 Forrester Ln, Virginia Beach, VA 23452-3114 | 2020-04-18 |
| 1629606785 | Caroline Minto | Counselor | 509 Old Great Neck Rd Ste 203, Virginia Beach, VA 23454-3358 | 2020-04-01 |
| 1396381620 | Heather Louise Butler | Counselor | 258 N Witchduck Rd Ste 1b, Virginia Beach, VA 23462-6556 | 2019-11-21 |
| 1184268500 | D'nita Marie Spann | Counselor | 297 Independence Blvd Ste 423, Virginia Beach, VA 23462-2837 | 2019-10-29 |
| 1558922468 | Turquoise Tamara Rawlings-perrin | Counselor | 6410 Duquesne Pl, Virginia Beach, VA 23464-4433 | 2019-06-23 |
| 1447819115 | Sheryl L. Losick-smith | Counselor | 2000 Basswood Ct, Virginia Beach, VA 23453-5927 | 2019-06-06 |
| 1225696370 | Helen Irene Runyan | Counselor | 1000 Regent University Dr # Drive225, Virginia Beach, VA 23464-5037 | 2019-06-04 |
| 1144785718 | Takiya Taylor | Counselor | 728 Promenade Pl Apt 103, Virginia Beach, VA 23462-7846 | 2019-02-07 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23451 |
Please comment or provide details below to improve the information on STEPHANIE BRADLEY-BLUE.
| 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.