Active NPI
Jeanne M Bradford, MS RD
- Registered Dietitian
- Las Vegas, NV
National Provider Identifier
1033164082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 579902
- Practice address
- 6968 Oakleigh Dr
Las Vegas, NV 89110 - Phone
- (702) 452-5687
- Fax
- (702) 452-5687
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 579902 | Primary |
Addresses
Primary practice location
6968 Oakleigh Dr
Las Vegas, NV 89110
Mailing address
6968 Oakleigh Dr
Las Vegas, NV 89110
Phone (702) 452-5687
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230595200000",
"number": "1033164082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6968 OAKLEIGH DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89110",
"telephone_number": "702-452-5687",
"fax_number": "702-452-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6968 OAKLEIGH DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89110",
"telephone_number": "702-452-5687",
"fax_number": "702-452-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "JEANNE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MS RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2008-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "579902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.