Deborah Kellide Conseen-Bradley, FNP, GNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN10880 Issued in TN

Practice address

777 Casino Dr
Cherokee, NC 28719-9761

Phone

(828) 497-8642

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deborah.conseen-bradley.1@28997.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jackson Medical Associates, PLLC

  • Family Nurse Practitioner
  • Sylva, NC
  • NPI 1669022570
  Medicare reassignment NPD
• Cherokee Indian Hospital Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cherokee, NC
  • NPI 1588840318
  NPD (past)
• Smoky Mountain Sports Medicine & Physical Therapy, Inc.

  • Physical Therapist
  • Sylva, NC
  • NPI 1710419619
  NPD (past)
• Cookeville Regional Medical Group, Inc

  • Multi-Specialty Clinic/Center
  • Cookeville, TN
  • NPI 1649202102
  NPD (past)
• Firstchoice Family Care

  • Rural Health Clinic/Center
  • Byrdstown, TN
  • NPI 1962961466
  NPD (past)
• Mid Atlantic Long Term Care

  • Skilled Nursing Facility
  • Towson, MD
  • NPI 1154337038
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1598852196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CASINO DRIVE",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "28719",
            "telephone_number": "828-497-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CASINO DR",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "287199761",
            "telephone_number": "828-497-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSEEN-BRADLEY",
        "first_name": "DEBORAH",
        "middle_name": "KELLIDE",
        "name_prefix": "Mrs.",
        "credential": "FNP, GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN10880",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "APN10880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciha Analenisgi
• Ciha Juvenile Services
• Andrea Respess Clapp
• Danielle Lita Cloutier, PA-C
• Lara Conner
• Cody Hunter Cook, PA-C
• Michaela Ann Cooper
• Nilofer Couture, RD, MPH
• Ronald Chester Cox, DDS
• Andrea Crisp, BSN RN

• Family Nurse Practitioner in Cherokee, NC
• Providers in Cherokee, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.