MRS. KRISTIN R BRADLEY (NPI# 1669643060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669643060 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN R BRADLEY |
| Other Name | KRISTIN R SCHOENFELDT |
| Credential | NP |
| Practice Address |
2215 44th St Sw Wyoming MI 49519-6439 |
| Mailing Address |
1925 Breton Rd Se Suite 201 Grand Rapids MI 49506-4810 |
| Practice Telephone | 6162528300 |
| Practice Fax Number | 6162528460 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2009-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704224909 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1669643060 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619160454 | Kristin Carolyn Bradley | Nurse Practitioner | 2555 W Midway Blvd, Broomfield, CO 80020-1632 | 2007-08-24 |
| 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 |
| 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 |
2215 44TH ST SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-6439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851391346 | Sarah A Vander Hart | Dietitian, Registered | 2215 44th St Sw, Wyoming, MI 49509 | 2005-07-26 |
| 1518508704 | Rachel Kloosterman | Nurse Practitioner | 2215 44th St Sw, Wyoming, MI 49519-6439 | 2019-09-30 |
| 1699256784 | Amra Bristina | Nurse Practitioner | 2215 44th St Sw, Wyoming, MI 49519-6439 | 2018-08-27 |
| 1427543354 | Sarah L Dikeman | Nurse Practitioner | 2215 44th St Sw, Wyoming, MI 49519 | 2018-06-23 |
| 1962991422 | Tracee Marie Scheffers | Dietitian, Registered | 2215 44th St Sw, Wyoming, MI 49519-6439 | 2018-05-09 |
| 1326536350 | Kelly Woock | Nurse Practitioner | 2215 44th St Sw, Wyoming, MI 49519-6439 | 2018-04-25 |
| 1992208847 | Kristy Vandriessche | Physical Therapist | 2215 44th St Sw, Wyoming, MI 49519-6439 | 2018-03-16 |
| 1265935316 | Sharon Grogg | Physical Therapist | 2215 44th St Sw, Wyoming, MI 49519-6439 | 2018-03-15 |
| 1710498142 | Alex Mitchell Tomlinson-miles | Nurse Practitioner | 2215 44th St Sw, Wyoming, MI 49519-6439 | 2017-10-12 |
| 1174053409 | Jeanine Vanloon | Specialist/Technologist, Other | 2215 44th St Sw, Wyoming, MI 49519-6439 | 2017-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1497706840 | Metro Health Basic Care | Nurse Practitioner | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2006-05-12 |
| 1043832728 | Lisa Marie Wamsley | Nurse Practitioner | 5838 Metro Way Sw, Wyoming, MI 49519-9619 | 2020-05-15 |
| 1528611373 | Erin Jean Mccue | Nurse Practitioner | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2019-07-22 |
| 1588127799 | Rebecca Kloote | Nurse Practitioner | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2019-04-14 |
| 1508341686 | Margaret Maureen O'hara | Nurse Practitioner | 2122 Health Dr Sw, Wyoming, MI 49519-9698 | 2018-09-25 |
| 1366937716 | Mallory Ann Myslenski | Nurse Practitioner | 2122 Health Dr Sw Ste 133, Wyoming, MI 49519-9698 | 2018-06-28 |
| 1194210914 | Katelyn Gettel | Nurse Practitioner | 2122 Health Dr Sw, Suite 133, Wyoming, MI 49519 | 2018-06-25 |
| 1184119901 | Emily Mccloskey | Nurse Practitioner | 2122 Health Dr Sw, Suite 133, Wyoming, MI 49519 | 2018-06-25 |
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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.