Alicia G Bradshaw, MS, MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1511 Issued in TN

Practice address

7111 Lee Hwy
Chattanooga, TN 37421-6706

Phone

(423) 402-8256

NPI assigned

Feb 14, 2020

Last updated

Feb 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Alicia N Garcia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1053944397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BROOKWOOD DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374111803",
            "telephone_number": "423-402-8256",
            "fax_number": "423-541-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216706",
            "telephone_number": "423-402-8256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Ashland Ter",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374153554",
            "country_code": "US",
            "telephone_number": "423-402-8256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "ALICIA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "MS, MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "GARCIA",
            "middle_name": "N",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kerri Nicole Bradley
• Lynn Bradley, BA
• Melissa Bradley, MS, RD, CBDCE, LDN
• Samantha Caitlin Bradley, BCBA
• Sherry Janel Bradley
• Angela Bradshaw, RN
• Madison M Bradshaw, PHARMD
• Stephen Paul Bradshaw, PH.D.
• Zachary Adam Bradshaw, PHARM.D.
• Terra D Brady

• Marriage & Family Therapist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Marriage & Family Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.