Shawnee Bradley, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95013999 Issued in CA

Practice address

275 N El Cielo Rd
Palm Springs, CA 92262-6972

Phone

(760) 641-9964

NPI assigned

Feb 19, 2020

Last updated

Feb 19, 2020By the provider in NPPES

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

Enrolled in CA, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Durango Urgent Care LLCGroup PAC ID 9335141266, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shawnee.bradley.p5@direct.mydohc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Durango Urgent Care LLC

  • Urgent Care Clinic/Center
  • Durango, CO
  • NPI 1154354512
  Medicare reassignment Care Compare group NPD
• Desert Medical Group, Inc.

  dba Desert Oasis Healthcare Medical Group

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1114918612
  Medicare reassignment NPD
• Aztec Urgent Care, LLC

  dba Four Corners Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Aztec, NM
  • NPI 1063741163
  NPD (past)

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1154954915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44672 MONACO CIR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922608552",
            "telephone_number": "760-641-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N EL CIELO RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626972",
            "telephone_number": "760-641-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SHAWNEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Rockne Boylan, FNP-BC
• BQ Enterprises Inc. (Home Health Angels)
• Brad a Wolfson M D a Medical Corporation
• Braden Partners LP (Pacific Pulmonary Services)
• David Bradford
• Chad Braun, M.D.
• Thomas Brazeal
• Breathe Thermae, Inc.
• Alec Pierce Breazeale, MD
• John Carl Summer Breitner, M.D., M.P.H.

• Family Nurse Practitioner in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.