Shauntay Bradley, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

299114 Issued in AZ

Practice address

3601 S 6TH Ave
Tucson, AZ 85723-0001

Phone

(520) 792-1450

NPI assigned

Sep 25, 2024

Last updated

Sep 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1316764848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 E SPEEDWAY BLVD APT 72",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857484005",
            "telephone_number": "214-354-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S 6TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857230001",
            "telephone_number": "520-792-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SHAUNTAY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "AZ",
            "license": "299114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khy Bradley, MD
• Layla Carol Bradley, FNP
• Mark W Bradley, MD
• Melissa R Bradley, D.O.
• Samuel Locke Bradley
• Veronica Bradley, LCSW
• Christopher C Bradshaw, MA, LPC #23251 AZ
• Hans R Bradshaw, M.D.
• Brandie S Brady, AGACNP
• Cindy L. Brady, BHPP

• Medical-Surgical Registered Nurse in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Medical-Surgical Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.