Active NPI
Sierra Bradeen
- Clinical Social Worker
- Elko, NV
National Provider Identifier
1548797392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1009 Silver St
Elko, NV 89801-3936 - Phone
- (775) 397-3486
- NPI assigned
- May 11, 2017
- Last updated
- May 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
1009 Silver St
Elko, NV 89801-3936
Mailing address
720 Sterling Dr
Spring Creek, NV 89815-6211
Phone (775) 397-3486
Other practice location 1
1515 7th St
Elko, NV 89801-2859
Phone (775) 299-3738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780936435 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1009 Silver St
Elko, NV 89801-3936
Phone (775) 753-6258
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruby Mountain Recovery | Rehabilitation Practitioner | Current | Accepting new patients |
| US Holdings LLC | Past | Accepting new patients |
Locations
445 Apple St
Ste 102
Reno, NV 89502
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Practitioner
- Elko, NV
- NPI 1265033922
-
dba LifeQuest Behavioral Health Care
- Community/Behavioral Health Agency
- Elko, NV
- NPI 1306346952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1548797392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 STERLING DR",
"city": "SPRING CREEK",
"state": "NV",
"postal_code": "898156211",
"telephone_number": "775-397-3486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 SILVER ST",
"city": "ELKO",
"state": "NV",
"postal_code": "898013936",
"telephone_number": "775-397-3486"
}
],
"practiceLocations": [
{
"address_1": "1515 7th St",
"address_purpose": "LOCATION",
"city": "Elko",
"state": "NV",
"postal_code": "898012859",
"country_code": "US",
"telephone_number": "775-299-3738",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADEEN",
"first_name": "SIERRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780936435",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elko, NV
- Susana Bond, RPH
- Mavis Bonzumah
- Avery Bowers
- Laurie Bowman
- Brad S Burlew Cardiology a Professional Corporation (Elko Cardiology Associates)
- Braden Partners LP (Pacific Pulmonary Services)
- Bridges Health & Wellness
- Brightpath Adult Day Services, Inc. (BrightPath Adult Enrichment Center)
- Diane E Brill, P.A.
- Lindsey Shiona Brill
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.