Individual provider Active NPI

Lawana Bradley, MSN, APRN, APN-C

  • Nurse Practitioner
  • Atkins, AR
National Provider Identifier
1306489281
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
122366 Issued in AR
Practice address
296 Lake Rd
Atkins, AR 72823-7165
Phone
(479) 857-9229
NPI assigned
Oct 23, 2019
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 122366 AR Primary
Primary Care Nurse Practitioner 363LP2300X 122366 AR

Addresses

Primary practice location

296 Lake Rd
Atkins, AR 72823-7165

Mailing address

296 Lake Rd
Atkins, AR 72823-7165
Phone (479) 857-9229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20200422000124 AR Practitioner - Nurse Practitioner 9133559776 Reassigns benefits to 2 organizations
I20250129001629 PA Practitioner - Nurse Practitioner 9133559776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

2100 N 7TH St
West Memphis, AR 72301-2017
Phone (870) 394-7800

549 Fair St
Bloomsburg, PA 17815-1419
Phone (570) 387-2251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC Nurse Practitioner CurrentSince Jan 20, 2025 Accepting new patients
Geisinger-HM Joint Venture, LLC Nurse Practitioner Current Accepting new patients
Geisinger Clinic CurrentSince Jan 20, 2025 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Aug 1, 2022 Accepting new patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Geisinger Clinic CurrentSince Jan 20, 2025 Accepting new patients
Springdale- Bentonville HBP Services, LLC Nurse Practitioner CurrentSince May 15, 2024 Accepting new patients
Geisinger-HM Joint Venture LLC CurrentSince Jan 20, 2025 Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800

549 Fair St
Bloomsburg, PA 17815
Phone (570) 387-2100

100 N Academy Ave
Danville, PA 17822

1020 Thompson St
Jersey Shore, PA 17740
Phone (570) 398-0100

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

Organizations & group practices 8

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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1306489281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 LAKE RD",
            "city": "ATKINS",
            "state": "AR",
            "postal_code": "728237165",
            "telephone_number": "479-857-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 LAKE RD",
            "city": "ATKINS",
            "state": "AR",
            "postal_code": "728237165",
            "telephone_number": "479-857-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "LAWANA",
        "credential": "MSN, APRN, APN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "122366",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "122366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atkins, AR

Sources for this page

Verify at the official NPI Registry.