Active NPI
Linda Joy Bradish, LPN
- Licensed Practical Nurse
- Mount Gilead, OH
National Provider Identifier
1013208388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 110564
- Practice address
- 142 S Rich St
Mount Gilead, OH 43338-1438 - Phone
- (740) 262-9540
- NPI assigned
- Apr 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 110564 | OH | Primary |
Addresses
Primary practice location
142 S Rich St
Mount Gilead, OH 43338-1438
Mailing address
PO.Box 184
142 S.Rich St.
Mt. Gilead, OH 43338
Phone (740) 262-9540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110564 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1013208388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO.BOX 184",
"address_2": "142 S.RICH ST.",
"city": "MT. GILEAD",
"state": "OH",
"postal_code": "43338",
"telephone_number": "740-262-9540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 S RICH ST",
"city": "MOUNT GILEAD",
"state": "OH",
"postal_code": "433381438",
"telephone_number": "740-262-9540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADISH",
"first_name": "LINDA",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "110564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Gilead, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.