Nichole Denise Bradley

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

339978 Issued in NY

Practice address

245 Ravenwood Ave
Rochester, NY 14619-1507

Phone

(585) 732-9091

NPI assigned

Oct 11, 2021

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

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1508528126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 RAVENWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146191507",
            "telephone_number": "585-732-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 RAVENWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146191507",
            "telephone_number": "585-732-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "NICHOLE",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NY",
            "license": "339978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara E Bradley-Phillips, LPN
• Brittany Nicole Bradley
• Caitlin Bradley, M.S.
• Kristie Bradley
• Mary Bradley
• Shalonda Bradley, LPN
• Tiana Dalette Bradley, LPN
• Arlyss Delita Bradshaw, LPN
• Carie E Bradt, RPA-C
• Christopher L Brady, L.M.S.W.

• Licensed Vocational Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Vocational Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.