Lynne Suzanne Bradshaw, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

139289 Issued in CA

Practice address

706 Natoma St
Folsom, CA 95630-3074

Phone

(916) 608-4569

NPI assigned

May 5, 2023

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1497444293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 SUNSET BLVD # 170-241",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654338",
            "telephone_number": "916-747-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 NATOMA ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303074",
            "telephone_number": "916-608-4569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 Seymour Cir",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "CA",
            "postal_code": "956483236",
            "country_code": "US",
            "telephone_number": "530-635-0503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5800 Stanford Ranch Rd Ste 610",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "957654387",
            "country_code": "US",
            "telephone_number": "916-747-3799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "LYNNE",
        "middle_name": "SUZANNE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daylin Ray Boyd, AMFT
• James Leslie Boyd Jr., M.D.
• Arash Bozorgi
• Brentley Bradford
• Snezana Bradic
• Brady Fortes Chiropractic Corporation
• Maria C Brady, DC
• Scott David Brandt
• Kristen Michelle Branham, MPT
• Randeep Singh Brar, PMHNP

• Marriage & Family Therapist in Folsom, CA
• Providers in Folsom, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.