Individual provider Active NPI

Heather Bradford, FNP

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1558893156
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017003911 Issued in MO
Practice address
900 E Battlefield St Ste 124
Springfield, MO 65807-5208
Phone
(417) 986-1289
NPI assigned
Apr 2, 2017
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2017003911 MO Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404115 NY

Addresses

Primary practice location

900 E Battlefield St Ste 124
Springfield, MO 65807-5208

Mailing address

900 E Battlefield St Ste 124
Springfield, MO 65807-5208
Phone (417) 986-1289

Other practice location 1

3233 E Sunshine St Ste 100
Springfield, MO 65804-2106
Phone (417) 986-1289

Other practice location 2

2150 W Republic Rd Ste 112
Springfield, MO 65807-6056
Phone (417) 986-1291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO, NY, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170626000682 KS Practitioner - Nurse Practitioner 6204104763 Reassigns benefits to 3 organizations
I20190323000097 MO Practitioner - Nurse Practitioner 6204104763 Reassigns benefits to 1 organization
I20220906001590 NY Practitioner - Nurse Practitioner 6204104763 Reassigns benefits to 1 organization
I20221101000068 FL Practitioner - Nurse Practitioner 6204104763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valera Medical PCGroup PAC ID 0547690521, 160 clinicians

Practice addresses (Care Compare)

134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2017003911MOMDFamily Nurse Practitioner
404115NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valera Medical, P.C. Psychiatric/Mental Health CurrentSince Sep 1, 2022 Accepting new patients
Lincoln County Hospital Current Accepting new patients
Lincoln County Hospital CurrentSince Nov 16, 2018 Accepting new patients
Mercy Southern Missouri Ambulatory Services LLC CurrentSince May 13, 2019 Accepting new patients
Valera Medical, P.a. Psychiatric/Mental Health CurrentSince Jul 23, 2022 Accepting new patients
Lincoln County Hospital CurrentSince May 13, 2019 Accepting new patients

Locations

1800 Pembrook Dr
Ste 300
Orlando, FL 32810
Phone (321) 200-4489

313 E Franklin St
Lincoln, KS 67455
Phone (785) 524-4474

2150 W Republic Rd
Ste 112
Springfield, MO 65807
Phone (417) 986-1291

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

900 E Battlefield St
Ste 124
Springfield, MO 65807
Phone (417) 556-8967

134 N 4th St
Brooklyn, NY 11249

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

Interoperability endpoints

  • Direct secure messaging: heather.bradford.1@18308.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1558893156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E BATTLEFIELD ST STE 124",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075208",
            "telephone_number": "417-986-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E BATTLEFIELD ST STE 124",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075208",
            "telephone_number": "417-986-1289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3233 E Sunshine St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042106",
            "country_code": "US",
            "telephone_number": "417-986-1289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 W Republic Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658076056",
            "country_code": "US",
            "telephone_number": "417-986-1291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "HEATHER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-02",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017003911",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404115",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.