Stacey Renee Smith-Bradfield, A/G. N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5381 Issued in CO

Practice address

5920 McIntyre St
Golden, CO 80403-7445

Phone

(720) 434-4876

Fax

(303) 225-4246

NPI assigned

Jul 16, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Stacey Renee Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1013116318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 MCINTYRE ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804037445",
            "telephone_number": "720-434-4876",
            "fax_number": "303-225-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 MCINTYRE ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804037445",
            "telephone_number": "720-434-4876",
            "fax_number": "303-225-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-BRADFIELD",
        "first_name": "STACEY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "A/G. N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "5381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN NUMBER",
            "identifier": "164202",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "SMITH",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "A/G. N. P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason R. Sims, DO
• Seema Siraj, MD
• Elizabeth Skurnik, MS, RD, LD, CNSC
• Eliza Keating Slayman, APN
• Philip Smaldone, M.D.
• Alicia Gail Smith, PA-C
• Christina Smith
• Emily Smith, MA CCC-SLP
• Gary Smith II
• Leigh Anne Smith

• Adult Health Nurse Practitioner in Golden, CO
• Providers in Golden, CO by specialty
• Adult Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.