Jeannie Ford-Bradley

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

681621 Issued in NY

Practice address

2211 Frederick Douglass Blvd
New York, NY 10026-1101

Phone

(917) 371-1993

NPI assigned

Oct 5, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1376053280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 FREDERICK DOUGLASS BLVD",
            "address_2": "2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10026",
            "telephone_number": "917-371-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 FREDERICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261101",
            "telephone_number": "917-371-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD-BRADLEY",
        "first_name": "JEANNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "681621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Forbes, LCSW
• Racquel Samantha Forbes, SOCIAL WORKER
• Roslyn Forbes, RN
• Shari Forbes, MD
• Lauren Forbus, FNP-BC
• Amber Ford
• Anna Blanca Ford, NP
• Anthony Vann Ford, LPN
• Ashley Elizabeth Dye Ford, M.D.
• Bridget Ford, PA

• Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.