Tanya Marie Bradford

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

0905159 Issued in OH

Practice address

7063 Hunters Moon CT
Fairfield Township, OH 45011-5078

Phone

(513) 200-5761

NPI assigned

Nov 25, 2020

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

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": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1275137713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7063 HUNTERS MOON CT",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450115078",
            "telephone_number": "513-200-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7063 HUNTERS MOON CT",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450115078",
            "telephone_number": "513-200-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "TANYA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": "0905159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethesda Home Healthcare LLC
• Beyond Change Dacp
• Khagendra Bhandari
• Noah B Boykin
• Sheila Ann Bradford
• Carrie Braun
• Jeffery Steven Bridgeford
• Bryan Bridges
• Stephanie Marie Browe
• Anita Jill Brown, RN

• Personal Care Attendant in Fairfield Township, OH
• Providers in Fairfield Township, OH by specialty
• Personal Care Attendant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.