Kelly Bradford

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

752400 Issued in NY

Practice address

522 Glenview CT
Webster, NY 14580-1502

Phone

(585) 944-3243

NPI assigned

Mar 6, 2017

Last updated

Jul 17, 2020By 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

State licenses

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1609316850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 GLENVIEW CT",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801502",
            "telephone_number": "585-944-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 GLENVIEW CT",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801502",
            "telephone_number": "585-944-3243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "532 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145801732",
            "country_code": "US",
            "telephone_number": "585-944-3243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "752400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leigh Boland, LPN
• Maureen Bond, RPH
• Melissa Bonfield
• Michelle Kathryn Bonn, R.PH.
• Michele Teresa Born, RN
• Nicole F Bradley
• Alisha Brandon, PTA
• Kathleen A Brennessel, R.N.
• Angelina Marie Brewer, LPN
• Erika Brewerton, LPN

• Registered Nurse in Webster, NY
• Providers in Webster, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.