Whitney Jo Bradford, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2018042028 Issued in MO

Practice address

900 State Route VV
Kennett, MO 63857-3834

Phone

(573) 559-2365

NPI assigned

Jul 9, 2018

Last updated

Oct 30, 2023By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FCC Medical Clinics LLCGroup PAC ID 1355743741, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Visiting Nurse Association of Southeast Missouri, Inc Home health agency, Kennett, MO, CCN 267050
• Arkansas Methodist Medical Center Hospital, Paragould, AR, CCN 040039
• Poplar Bluff Regional Medical Center Hospital, Poplar Bluff, MO, CCN 260119
• Piggott Community Hospital Hospital, Piggott, AR, CCN 041330

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• FCC Medical Clinics LLC

  dba FCC Primary Care Clinic

  • Rural Health Clinic/Center
  • Kennett, MO
  • NPI 1043885254
  Medicare reassignment Care Compare group NPD
• Family Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Kennett, MO
  • NPI 1669477550
  Medicare reassignment NPD
• Family Counseling Center, Inc.

  dba FCC Primary Care

  • Primary Care Clinic/Center
  • Poplar Bluff, MO
  • NPI 1235738493
  NPD
• Family Counseling Center, Inc.

  dba FCC Primary Care Clinic

  • Rural Health Clinic/Center
  • Kennett, MO
  • NPI 1386101467
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Poplar Bluff Regional Medical Center LLC

  dba Poplar Bluff Regional Medical Center

  • General Acute Care Hospital
  • Poplar Bluff, MO
  • NPI 1700831724
  Care Compare affiliation
• Visiting Nurse Association of Southeast Missouri, Inc.

  • Home Health Agency
  • Kennett, MO
  • NPI 1205828183
  Care Compare affiliation
• Arkansas Methodist Hospital Corporation

  dba Arkansas Methodist Medical Center

  • General Acute Care Hospital
  • Paragould, AR
  • NPI 1437222312
  Care Compare affiliation
• Piggott Community Hospital

  • Critical Access Hospital
  • Piggott, AR
  • NPI 1891781837
  Care Compare affiliation

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1346736873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 STATE ROUTE VV",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573834",
            "telephone_number": "573-559-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STATE ROUTE VV",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573834",
            "telephone_number": "573-559-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "WHITNEY",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005717",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "A005717",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018042028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Bowen
• Heather Bowman
• Tracy Marie Bowman
• Cynthia Kay Boyd, RPH, PHARMD
• Erica Lynn Boyet
• Brian Branum, RASAC I, BS
• Marsha J Branum, TCM
• Teresa Brasher, LCSW
• Dione A Breakfield
• Joleen Brege

• Family Nurse Practitioner in Kennett, MO
• Providers in Kennett, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.

Verify at the official NPI Registry.