SARAH SOUVANNACHAK BRADLEY


Address: 717 S Houston Ave, Tulsa, OK 74127-9023
Phone: 9185864522

SARAH SOUVANNACHAK BRADLEY (NPI# 1972044998) 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) 1972044998
Entity Type Individual
Full Name SARAH SOUVANNACHAK BRADLEY
Credential D.O
Practice Address 717 S Houston Ave
Tulsa
OK 74127-9023
Mailing Address 1504 E 36th St
Tulsa
OK 74105-3230
Practice Telephone 9185864522
Practice Fax Number 9185864531
Mailing Telephone 4792006605
Enumeration Date 2017-03-09
Last Update Date 2017-03-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers SARAH BRADLEY

NPI Name Taxonomy Address Enumeration
1790265700 Sarah Bradley Speech-Language Pathologist 820 Old Pageland Marshville, Marshville, NC 28103-8032 2018-08-19
1730677170 Sarah Joy Bradley Marriage & Family Therapist 337 E Magnolia Ave Ste B, Auburn, AL 36830-4842 2018-04-30
1992313639 Sarah K Bradley Orthotist 895 3rd Ave Bldg 2, Chula Vista, CA 91911-1304 2020-07-20
1205379625 Sarah Bradley Specialist/Technologist 1577 W 7000 S, #100, West Jordan, UT 84084-7492 2016-12-03
1720450471 Sarah G. Bradley Counselor 15 Pinecrest Dr, Essex Junction, VT 05452-2912 2015-10-21
1568838530 Sarah Elizabeth Bradley Speech-Language Pathologist 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 2015-08-13
1386029882 Sarah Creed Bradley Nurse Practitioner 1315 Roberts St, Camden, SC 29020-3737 2015-07-25
1740695501 Sarah Bradley Social Worker 2130 Forest Hills Rd W, Suite A, Wilson, NC 27893-3680 2014-06-30
1174891451 Sarah Bradley Genetic Counselor, MS 47 New Scotland Ave # Mc88, Albany, NY 12208-3412 2011-12-01
1861789554 Sarah E Bradley Obstetrics & Gynecology 2100 Ridgefield Blvd, Asheville, NC 28806-2343 2011-07-01

Office Location

Street Address 717 S HOUSTON AVE
City TULSA
State OK
Zip Code 74127-9023

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982694048 John D Dewitt Psychiatry & Neurology 717 S Houston Ave, Suite 406, Tulsa, OK 74127-9023 2005-10-28
1427686302 Braden Kyle Nelson Student in an Organized Health Care Education/Training Program 717 S Houston Ave, Tulsa, OK 74127-9023 2020-03-27
1659934370 Este Marks Student in an Organized Health Care Education/Training Program 717 S Houston Ave, Tulsa, OK 74127-9023 2019-04-18
1639732506 Jessica Gracy George Student in an Organized Health Care Education/Training Program 717 S Houston Ave, Tulsa, OK 74127-9023 2019-04-17
1396308102 Kailey Madison Shuler Haley Student in an Organized Health Care Education/Training Program 717 S Houston Ave, Tulsa, OK 74127-9023 2019-04-17
1063975233 Angelique Ramirez Student in an Organized Health Care Education/Training Program 717 S Houston Ave, Tulsa, OK 74127-9023 2019-04-12
1174086755 Fon-sawitree Kongmuang Dew Student in an Organized Health Care Education/Training Program 717 S Houston Ave, Tulsa, OK 74127-9023 2019-04-10
1326545294 Nekita Patel Student in an Organized Health Care Education/Training Program 717 S Houston Ave, Tulsa, OK 74127-9023 2018-04-09
1568963551 Michael Joseph Warren Student in an Organized Health Care Education/Training Program 717 S Houston Ave, Tulsa, OK 74127-9023 2018-02-24
1386144889 Eevar Benjamin Rossavik Student in an Organized Health Care Education/Training Program 717 S Houston Ave, Tulsa, OK 74127-9023 2018-02-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366966699 Tarell Lynell Earl Case Manager/Care Coordinator 602 N. 28th W. Pl., Tulsa, OK 74127 2017-07-28
1023538014 Milton Dean IIi Counselor 1234 N Rosedale, Tulsa, OK 74127 2017-06-21
1740700988 Lisa Lee Ann Gilliland Case Manager/Care Coordinator 2001 W Ute Pl, Tulsa, OK 74127 2017-06-20
1114456498 Kevin Thomas Jackson Counselor 310 S 49th W Ave, Tulsa, OK 74127 2017-06-08
1427406180 Byron Conrad Dixon Jr. Case Manager/Care Coordinator 551 N. 28th W. Ave., Tulsa, OK 74127 2016-06-02
1548621568 Brandon Worth Student in an Organized Health Care Education/Training Program 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 2016-03-18
1073987467 Jo Lowe Social Worker 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 2015-11-23
1154718575 William Hughes Health Educator 3101 W Edison, Tulsa, OK 74127 2015-04-23
1801289665 Kristyn Janelle Zrenda Student in an Organized Health Care Education/Training Program 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 2015-03-17
1831595719 Mallory Yarbrough Counselor 3005 N 24th West Ave, Tulsa, OK 74127 2014-11-05
Find all providers in zip 74127

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255931739 Parker Grant Allan Student in an Organized Health Care Education/Training Program 5126 E 104th Pl, Tulsa, OK 74137-6082 2020-10-26
1003423369 Armin Kalantari Student in an Organized Health Care Education/Training Program 7310 E 92nd St, Tulsa, OK 74133-6039 2020-09-29
1437766268 Abigail Roberts Student in an Organized Health Care Education/Training Program 2657 S Oswego Pl, Tulsa, OK 74114-4719 2020-09-25
1275149577 Jesse Taylor Strong Student in an Organized Health Care Education/Training Program 50 S Florence Ave, Tulsa, OK 74104-1714 2020-09-22
1376159632 Nisha Rajagopal Student in an Organized Health Care Education/Training Program 6152 S Richmond Ave, Tulsa, OK 74136-1613 2020-09-21
1386250728 Magera Shaw Student in an Organized Health Care Education/Training Program 1436 S Darlington Ave, Tulsa, OK 74112-6314 2020-09-21
1811503261 Bridgette Molenda Student in an Organized Health Care Education/Training Program 5215 S Harvard Ave Apt K, Tulsa, OK 74135-3537 2020-09-21
1922613777 Anna Claire Shadid Student in an Organized Health Care Education/Training Program 2122 E 47th Pl, Tulsa, OK 74105-4922 2020-09-09
1316552169 Laura Warning Student in an Organized Health Care Education/Training Program 412 S Olympia Ave, Tulsa, OK 74127-8825 2020-09-09
1487269239 James Maxwell Cox Student in an Organized Health Care Education/Training Program 4507 S Madison Pl, Tulsa, OK 74105-4564 2020-09-09
Find all providers in TULSA

Competitor

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City TULSA
Zip Code 74127

Improve Information

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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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