Leah Bradford
Individual provider Active NPI Licensed Practical Nurse · Independence, OH
NPI 1003425372 · NPPES record last updated Jul 23, 2020
Key facts
- NPI
- 1003425372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 144361 (OH)
- Practice address
- 4700 Rockside Rd Ste 100
Independence, OH 44131-2148 - Phone
- (216) 750-2600
- NPI assigned
- Jul 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144361 | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viaquest Hospice, LLC | Past |
Accepting new patients | |
| Viaquest Home Health of Ohio, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 144361 | OH | Yes |
Addresses
Primary practice location
4700 Rockside Rd Ste 100
Independence, OH 44131-2148
Mailing address
4700 Rockside Rd Ste 100
Independence, OH 44131-2148
Phone (216) 750-2600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2910854 | Medicaid | OH |
Other providers in Independence, OH
- Eric William Boose
- David James Bound
- Sarah Bound
- Minnie M Bowers
- Michael Bernard Boyle
- Kevin Brannan
- Bravo Caregivers LLC
- Pamela Beth Brelloch
- Michelle Brick
- Bridge 2 Home LLC
All providers in Independence, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.