Donna Marie Bradshaw, AGNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1786365 Issued in VA

Practice address

1200 S Military Hwy
Chesapeake, VA 23320-2251

Phone

(757) 424-5778

NPI assigned

May 15, 2020

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

Enrolled in VA

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

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 and National Provider Directory roles.

• Chesapeake Weight Loss Consultants PLLC

  • Surgery Physician
  • Chesapeake, VA
  • NPI 1750661203

  Single Specialty

  Medicare reassignment NPD
• Peak Wellness and Aesthetics LLC

  • Obesity Medicine (Preventive Medicine) Physician
  • Chesapeake, VA
  • NPI 1023865078

  Single Specialty

  Medicare reassignment NPD
• Primary Care Physicians of Hampton Roads PC

  • Primary Care Clinic/Center
  • Chesapeake, VA
  • NPI 1316077894
  Medicare reassignment

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1487276192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S MILITARY HWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202251",
            "telephone_number": "757-424-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S MILITARY HWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202251",
            "telephone_number": "757-424-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "1786365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramona Brabson, LCSW
• Kari Braca, M.A., CCC-SLP
• Brad Christenson DDS PC
• Corey L Bradley, PHARMD
• Christine D Bradshaw Earl, LCSW
• Heather Brady, RESIDENT IN MARRIAGE
• Kimala Brady
• Kasten Elizabeth Brafford
• Braley & Thompson, Inc.
• Braley & Thompson, Inc.

• Nurse Practitioner in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.