Individual provider Active NPI

Heather Caia Bradshaw, WHNP, ANP, DNP

  • Women's Health Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1437455128
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
766495 Issued in TX
Practice address
1900 S Coulter St
Suite B
Amarillo, TX 79106-1784
Phone
(806) 350-7312
NPI assigned
Jan 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 766495 TX Primary

Addresses

Primary practice location

1900 S Coulter St
Suite B
Amarillo, TX 79106-1784

Mailing address

1900 S Coulter St
Suite B
Amarillo, TX 79106-1784
Phone (806) 350-7312

Other names 1

  • Mrs. Heather Caia Bradshaw Professional name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
766495TXMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1437455128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S COULTER ST",
            "address_2": "SUITE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061784",
            "telephone_number": "806-350-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S COULTER ST",
            "address_2": "SUITE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061784",
            "telephone_number": "806-350-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "HEATHER",
        "middle_name": "CAIA",
        "name_prefix": "Mrs.",
        "credential": "WHNP, ANP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "766495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BRADSHAW",
            "middle_name": "CAIA",
            "prefix": "MRS.",
            "credential": "WHNP,ANP, DNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.