MS. CATHERINE SUE BRADWAY (NPI# 1831128016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831128016 |
| Entity Type | Individual |
| Full Name | MS. CATHERINE SUE BRADWAY |
| Credential | MSN, APRN, BC |
| Practice Address |
1255 W Baseline Rd Suite B258 Mesa AZ 85202-5820 |
| Mailing Address |
4747 N 7th St Suite 100 Phoenix AZ 85014-3653 |
| Practice Telephone | 4808200825 |
| Practice Fax Number | 4808207863 |
| Mailing Telephone | 6022797655 |
| Mailing Fax Number | 6022641806 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2012-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
092864 | NC | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP4159 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1255 W BASELINE RD SUITE B258 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-5820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706635 | Rebecca Robinson | Physical Therapist | 1255 W Baseline Rd, Mesa, AZ 85202-5820 | 2019-12-08 |
| 1851781173 | Desanne Gonsalves | Physician Assistant | 1255 W Baseline Rd, Mesa, AZ 85202-5820 | 2015-01-26 |
| 1912329293 | Alyssa Palty | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2014-01-06 |
| 1538599949 | Meredith Moore | Counselor | 1255 W Baseline Rd, Mesa, AZ 85202-5820 | 2013-11-21 |
| 1295168763 | Sheila P Holly | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2013-08-19 |
| 1063845329 | Audrey Carol Hilmoe | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2013-08-09 |
| 1568808111 | Annia Salas | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2013-05-21 |
| 1366793978 | Aurelio Abraham Duarte-encinas | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2012-09-21 |
| 1346597853 | Guadalupe J Holguin | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2012-08-14 |
| 1558618363 | Raquel R. Deluccia | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2012-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487149 | Sunitha Jose | Nurse Practitioner | 3308 N Higley Rd, Mesa, AZ 85215-9781 | 2020-08-10 |
| 1447877972 | Reena Pathak | Nurse Practitioner | 1111 S Stapley Dr # 5060, Mesa, AZ 85204-5059 | 2020-07-01 |
| 1760021885 | Matthew Deise | Nurse Practitioner | 460 N Mesa Dr Ste 201, Mesa, AZ 85201-5957 | 2020-01-06 |
| 1639713621 | Summit Place Mental Health, LLC | Nurse Practitioner | 625 W Southern Ave Ste E, Mesa, AZ 85210-5018 | 2019-11-01 |
| 1063062149 | Makenna Francis | Nurse Practitioner | 2730 S. Val Vista Dr, 146, Mesa, AZ 85215 | 2019-09-19 |
| 1891341947 | James M Theiss | Nurse Practitioner | 5439 E Ellis St, Mesa, AZ 85205-5470 | 2019-08-14 |
| 1134527534 | Susan Willever | Nurse Practitioner | 11331 E Starfire Cir, Mesa, AZ 85212-7062 | 2014-12-17 |
| 1326443003 | Jennifer Anderson | Nurse Practitioner | 6262 E Brown Rd Unit 43, Mesa, AZ 85205-4846 | 2014-10-24 |
| 1356616205 | Sukanlaya Hughes | Nurse Practitioner | 2444 E. Southern Ave. Ste. 103, Mesa, AZ 85204 | 2012-03-11 |
| 1942403076 | Shosamana | Nurse Practitioner | 3740 E Southern Ave Ste 207, Mesa, AZ 85206-2512 | 2007-06-06 |
| Find all providers in MESA | ||||
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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.