Abigail Jane Bradley, REGISTERED NURSE

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

23038 Issued in AK

Practice address

Mile 4.2 Talkeetna Spur Rd
Talkeetna, AK 99676

Phone

(907) 733-2273

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All Aspects Construction

  • Home Modifications Contractor
  • Talkeetna, AK
  • NPI 1891053476
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1366473134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 984",
            "city": "TALKEETNA",
            "state": "AK",
            "postal_code": "996760984",
            "telephone_number": "907-733-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MILE 4.2 TALKEETNA SPUR RD",
            "city": "TALKEETNA",
            "state": "AK",
            "postal_code": "99676",
            "telephone_number": "907-733-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ABIGAIL",
        "middle_name": "JANE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "CM7787",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "AK",
            "license": "23038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CM7787",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Lee Wheeler
• Arborvitae Integrative Counseling
• Mary Elizabeth Asher, L.M.T.
• Sarah L Blanning, CSW
• Mariana Bosnjak, PA-C
• Timothy Bradley
• Lauren Champagne, LCSW
• Paul Forman, MD
• William Todd Frantz, D.M.D.
• George Baryon Hightower, M.D.

• All providers in Talkeetna, AK
• Medical-Surgical Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.