MS. JESSICA BRADLEY


Address: 1500 Museum Rd Ste 104, Conway, AR 72032-4761
Phone: 5019329010

MS. JESSICA BRADLEY (NPI# 1841700879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841700879
Entity Type Individual
Full Name MS. JESSICA BRADLEY
Credential RD
Practice Address 1500 Museum Rd Ste 104
Conway
AR 72032-4761
Mailing Address Po Box 497
Augusta
AR 72006-0497
Practice Telephone 5019329010
Practice Fax Number 5019320020
Mailing Telephone 8703472534
Mailing Fax Number 8703472023
Enumeration Date 2017-10-04
Last Update Date 2017-10-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered PLD230 AR Dietary & Nutritional Service Providers

Other Providers JESSICA BRADLEY

NPI Name Taxonomy Address Enumeration
1023575404 Jessica Latisha Bradley Social Worker 7 Grand Teton Ave, Howell, NJ 07731-9002 2019-02-21
1821487182 Jessica Bradley Pharmacist 2094 Ee Wallace Blvd N, Ferriday, LA 71334-2233 2015-01-09
1679186712 Jessica Lanae Bradley Massage Therapist 83 Keene Rd, Richland, WA 99352-5006 2020-08-28
1467063362 Jessica Renee Bradley Counselor 30 Stonecrest Ct Ste 100, Shelbyville, KY 40065-8128 2020-08-13
1144864000 Jessica Bradley Counselor 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 2019-11-04
1578037784 Jessica Marie Bradley Nurse Practitioner 101 Wellness Way Ste 300, Milford, DE 19963-4366 2019-01-22
1093265357 Jessica Bradley Behavior Technician 1055 Cornell Rd, Autism Collaborative Center, Ypsilanti, MI 48197-1657 2016-10-11
1972957652 Jessica Bradley Registered Nurse 5 Medical Park Drive, Columbia, SC 29203 2016-04-19
1306269972 Jessica Lee Bradley Nurse Practitioner 2324 Us Highway 17, Richmond Hill, GA 31324-3398 2014-02-01
1285076083 Jessica Nicole Bradley Pharmacist 4500 S Lancaster Rd, Pharmacy Service Rm. 119c, Dallas, TX 75216-7167 2013-07-22

Office Location

Street Address 1500 MUSEUM RD STE 104
City CONWAY
State AR
Zip Code 72032-4761

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427168558 Richelle Leigh Weese Speech-Language Pathologist 1500 Museum Rd Ste 104, Conway, AR 72032-4761 2006-08-30
1932681574 Dana Jones Physical Medicine & Rehabilitation 1500 Museum Rd Ste 104, Conway, AR 72032-4761 2018-08-30
1396128336 Karthikeyan Viswanathan Internal Medicine 1500 Museum Rd Ste 104, Conway, AR 72032-4761 2015-07-08
1831487404 Arcare Clinic/Center 1500 Museum Rd Ste 104, Conway, AR 72032-4761 2011-07-18
1740439181 Brittany K Buckels Speech-Language Pathologist 1500 Museum Rd Ste 104, Conway, AR 72032-4761 2008-09-10
1215144118 Lacy Perna Bray Speech-Language Pathologist 1500 Museum Rd Ste 104, Conway, AR 72032-4761 2007-05-17
1164545661 Amber Lynn Lingle Speech-Language Pathologist 1500 Museum Rd Ste 104, Conway, AR 72032-4761 2007-04-09
1770604761 Carolyn Sue Bridges Physical Therapy Assistant 1500 Museum Rd Ste 104, Conway, AR 72032-4761 2007-04-03
1730226564 Shirley Denise Moorehead Speech-Language Pathologist 1500 Museum Rd Ste 104, Conway, AR 72032-4761 2007-01-31
1740380351 Candice Rae Robinson Speech-Language Pathologist 1500 Museum Rd Ste 104, Conway, AR 72032-4761 2006-09-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730789843 Amelia S Lasater Pharmacist 1155 Hwy 65n, Conway, AR 72032 2020-10-28
1619584604 Danyelle Durocher Occupational Therapist 1301 North Museum Rd, Conway, AR 72032 2020-09-24
1780222174 Eric Herman Boxnick Pharmacist 101 West Oak Street, Conway, AR 72032 2019-12-16
1932746070 Habilitation Center, LLC Psychiatric Residential Treatment Facility 161 Skunk Hollow Road, Conway, AR 72032 2019-12-09
1679051668 Mary Elizabeth Black Nurse Practitioner 222 Dave Ward Drive, Conway, AR 72032 2018-08-01
1275035602 Conway Dental Center Pllc Dentist 1600 E. Oak Street Suite B, Conway, AR 72032 2018-03-01
1750821625 Luke Osborne Physical Therapy Assistant 1 Thomas Ln, Conway, AR 72032 2017-02-27
1639620099 Sam's West, Inc. Technician/Technologist 1250 South Amity Rd, Conway, AR 72032 2016-10-20
1922559343 Sam's West, Inc. Durable Medical Equipment & Medical Supplies 1250 Sourth Amity Rd, Conway, AR 72032 2016-10-20
1639629108 Posture Store Durable Medical Equipment & Medical Supplies 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 2016-10-09
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033726922 Alicia Landry Dietitian, Registered 201 Donaghey Ave, Mcalister 100, Conway, AR 72035 2020-09-25
1083116941 Whitney Marie Holland Dietitian, Registered 3475 Malvern Hill Rd, Conway, AR 72032-9163 2018-03-06
1104204270 Erick Keith Mccarthy Dietitian, Registered 18 Water Oak Dr, Conway, AR 72034-3430 2015-05-11
1154627800 Charity Ashworth Dietitian, Registered 700 Salem Rd, Conway, AR 72034-4818 2011-01-28
1760705222 Alane Scheider Dietitian, Registered 500 Hiland Ave, Conway, PA 15027-1464 2010-03-11
1013240928 Janet A Dance Dietitian, Registered 2125 Desha Dr, Conway, AR 72034-7394 2009-09-09
1528209558 Nina L. Roofe Dietitian, Registered 12 Sarah Ln, Conway, AR 72032-9049 2009-03-21
1144244302 Karen Nichole Thompson Dietitian, Registered 2125 College Avenue, Conway, AR 72034 2006-07-27
1366059560 Lori Jean Dather Dietitian, Registered 603 Harkrider St, Conway, AR 72032-5633 2020-09-30
1720605900 Kristen Nicole Shores Dietitian, Registered 150 E Siebenmorgen Rd, Conway, AR 72032-4000 2020-07-03
Find all providers in CONWAY

Competitor

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City CONWAY
Zip Code 72032

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Dataset Information

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.

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