Stephanie C Bradley, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

328496 Issued in NE

Practice address

3717 N 67TH Ave
Omaha, NE 68104-2505

Phone

(402) 819-8657

NPI assigned

Dec 22, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1083201107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 N 67TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042505",
            "telephone_number": "402-819-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 N 67TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042505",
            "telephone_number": "402-819-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "STEPHANIE",
        "middle_name": "C",
        "credential": "CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NE",
            "license": "328496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mozella Bradley
• Nessie Bradley
• Percy Dee Bradley Sr.
• Preston Bradley
• Rachelle Sofia Bradley, ND
• Bradshaw Meyer LLC
• Antonia Lashay Bradshaw
• Reagan Nicole Bradshaw
• Shannon Michaela Bradstreet, CPHT
• John W Brady, MD

• Lactation Consultant (Non-RN) in Omaha, NE
• Providers in Omaha, NE by specialty
• Lactation Consultant (Non-RN) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.