Amy D Bradshaw, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

3555 Lutheran Pkwy Ste 180
Wheat Ridge, CO 80033-6000

Phone

(303) 403-7930

Fax

(303) 425-2792

NPI assigned

Jul 29, 2011

Last updated

Dec 18, 2013By the provider in NPPES

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

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Intermountain Front Range, Inc.

  dba Intermountain Lutheran Hospital - APC

  • Internal Medicine Physician
  • Wheat Ridge, CO
  • NPI 1083444079
  Medicare reassignment NPD
• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083
  Medicare reassignment NPD
• Exempla Diabetes Center

  • Chronic Disease Hospital
  • Wheat Ridge, CO
  • NPI 1730333683
  Authorized official Same address or phone
• Intermountain Front Range, Inc.

  dba Lutheran Medical Center Radiation Oncology - Red Rocks

  • Radiation Oncology Physician
  • Golden, CO
  • NPI 1437737665
  NPD
• Intermountain Front Range, Inc.

  dba Lutheran Hospital - Breast Care Center

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1619706249
  NPD
• Intermountain Medical Group Denver, LLC

  dba Orthopedic Centers of Colorado - Saint Joseph

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD
• Intermountain Medical Group Denver, LLC

  dba Candelas Clinic - Diabetes and Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Arvada, CO
  • NPI 1982434239

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1316225089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ELDORADO BLVD STE 6250",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213421",
            "telephone_number": "303-272-0768",
            "fax_number": "303-318-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY STE 180",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336000",
            "telephone_number": "303-403-7930",
            "fax_number": "303-425-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "AMY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Boyd
• Kristen Nicole Boyer, PA-C
• Kendal Boyum
• Michele Bradley
• Miranda Patterson Bradley, LPC
• Megan Bradway, NURSE PRACTITIONER
• Alison Brainard, MD
• Jennifer M Braly
• Brand Name Enterprise, LLC (Hear Again America)
• Deborah Branson, RN, NP

• Registered Dietitian in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.