Susan Bradley, R.N.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

605287 Issued in CA

Practice address

1624 Highland St
Seaside, CA 93955-4512

Phone

(831) 238-6111

NPI assigned

Nov 18, 2009

Last updated

Nov 18, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1578891248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 HIGHLAND ST",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939554512",
            "telephone_number": "831-238-6111",
            "fax_number": "509-272-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 HIGHLAND ST",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939554512",
            "telephone_number": "831-238-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "605287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Born, RADT
• Brandi Elsie Marie Bothe
• Christine Boulanger, MD
• Elliot Bowles, PPSC
• Amy Marie Boze
• Martha Mitchell Brazwell
• Brian P. Rector, Chiropractic, Inc.
• Jodi Leila Brown, RN
• Jorge Jesus Bru
• Alice L. Butzlaff, MSN, RN, NP

• Home Health Registered Nurse in Seaside, CA
• Providers in Seaside, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.