Active NPI
Linda Kathleen Bradshaw, MA, LPC, NCC
- School Counselor
- Hickory, NC
National Provider Identifier
1508050030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 3039
- Practice address
- 2620 23Rd Ave NE
Hickory, NC 28601-3161 - Phone
- (828) 324-2776
- Fax
- (828) 397-3533
- NPI assigned
- Aug 28, 2007
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 3039 | NC | Primary |
Addresses
Primary practice location
2620 23Rd Ave NE
Hickory, NC 28601-3161
Mailing address
2620 23Rd Ave NE
Hickory, NC 28601-3161
Phone (828) 324-2776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102737 | Medicaid | NC |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3039 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1508050030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 23RD AVE NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286013161",
"telephone_number": "828-324-2776",
"fax_number": "828-397-3533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 23RD AVE NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286013161",
"telephone_number": "828-324-2776",
"fax_number": "828-397-3533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADSHAW",
"first_name": "LINDA",
"middle_name": "KATHLEEN",
"credential": "MA, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NC",
"license": "3039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102737",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.