Melissa Bradley, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN301033 Issued in GA

Practice address

11770 US Highway 1 Ste 102E
Palm Beach Gardens, FL 33408-3052

Phone

(561) 815-2427

NPI assigned

Sep 1, 2022

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

Other identifiers 1

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": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1336869007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11770 US HIGHWAY 1 STE 102E",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334083052",
            "telephone_number": "561-815-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11770 US HIGHWAY 1 STE 102E",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334083052",
            "telephone_number": "561-815-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MELISSA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN301033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF GEORGIA BOARD OF NURSING",
            "identifier": "RN301033",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher William Boyes, M.D.
• Kate Prior Bracken
• Robin Gayle Brackett, PHARMACIST
• Colby Trenton Bradford, D.M.D.
• Stephen W Bradford, DMD
• Meredith Bradley, AU. D
• Charlyn Rappa Bradshaw, D.M.D.
• Kenneth Wayne Bradshaw
• Annmarie Aideen Brady, MPT; CERT. MDT
• Tina Ann Brady, AGPCNP-C

• Registered Nurse in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.