Active NPI
Celeste Bradley
- Speech-Language Pathologist
- Hartselle, AL
National Provider Identifier
1427767300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5619
- Practice address
- 530 Sparkman St SW
Hartselle, AL 35640-3120 - Phone
- (256) 502-9582
- NPI assigned
- Nov 18, 2022
- Reactivated
- Jun 13, 2024
- Last updated
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5619 | AL | Primary |
Addresses
Primary practice location
530 Sparkman St SW
Hartselle, AL 35640-3120
Mailing address
506 Creek Bed Cir NW
Madison, AL 35757-6348
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5619 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achievement Pediatric Therapies, LLC | Speech-Language Assistant | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapy Assistant
- Hartselle, AL
- NPI 1174088959
Speech-Language Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1427767300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 CREEK BED CIR NW",
"city": "MADISON",
"state": "AL",
"postal_code": "357576348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 SPARKMAN ST SW",
"city": "HARTSELLE",
"state": "AL",
"postal_code": "356403120",
"telephone_number": "256-502-9582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "CELESTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-18",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"deactivation_date": "2023-11-02",
"reactivation_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "5619",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Other",
"affiliation": "N",
"address_1": "530 Sparkman St SW",
"city": "Hartselle",
"state": "AL",
"country_code": "US",
"postal_code": "356403120",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hartselle, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.