Individual provider Active NPI

Annie Collins Cole-Bradley, APRN, DNP, FNP-BC

  • Family Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1174808422
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201910139NP-PP Issued in OR
Practice address
3355 Chad Dr
Eugene, OR 97408-7428
Phone
(541) 530-5515
Fax
(541) 607-7467
NPI assigned
Oct 19, 2011
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201910139NP-PP OR Primary
Registered Nurse 163W00000X 2019099997RN OR

Addresses

Primary practice location

3355 Chad Dr
Eugene, OR 97408-7428

Mailing address

3355 Chad Dr
Eugene, OR 97408-7428
Phone (541) 530-5515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201130002603 OR Order and Referring Only - Nurse Practitioner 3072775733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2019099997RNORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Roseburg Vamc CurrentSince Nov 17, 2024 Accepting new patients
Weaver Family Practice, Inc. Family Past Accepting new patients

Locations

3355 Chad Dr
Eugene, OR 97408
Phone (541) 607-0897

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1174808422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 CHAD DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087428",
            "telephone_number": "541-530-5515",
            "fax_number": "541-607-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 CHAD DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087428",
            "telephone_number": "541-530-5515",
            "fax_number": "541-607-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE-BRADLEY",
        "first_name": "ANNIE",
        "middle_name": "COLLINS",
        "name_prefix": "Mrs.",
        "credential": "APRN, DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201910139NP-PP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "2019099997RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.