Active NPI
Lawana Bradley, MSN, APRN, APN-C
- Nurse Practitioner
- Atkins, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 122366
- Practice address
- 296 Lake Rd
Atkins, AR 72823-7165 - Phone
- (479) 857-9229
- NPI assigned
- Oct 23, 2019
- Last updated
- Oct 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger-HM Joint Venture, LLC | Nurse Practitioner | Current | Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Nurse Practitioner | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Nurse Practitioner | Current | Accepting new patients |
| Geisinger Clinic | Nurse Practitioner | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Springdale- Bentonville HBP Services, LLC | Nurse Practitioner | Current | Accepting new patients |
| Geisinger-HM Joint Venture LLC | Current | 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.
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- NPI 1144876137
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- NPI 1558313023
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- NPI 1952076119
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- NPI 1073075909
Nurse Practitioner
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.