Sarah Anna Bradford, NP-C

Key facts

NPI

1609520592

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

AP61264708 (WA)

Practice address

600 E Main St
Elma, WA 98541-9560

Phone

(360) 346-2222

Fax

(360) 346-2192

NPI assigned

Feb 9, 2022

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• Grays Harbor County Public Hospital District No 1 Critical Access Hospital · Elma, WA · NPI 1740211028
  Medicare reassignment NPD WA
• Grays Harbor County Public Hospital District No 1 Rural Health Clinic/Center · Elma, WA · NPI 1083202907
  NPD
• Grays Harbor County Public Hospital District No. 1 Rural Health Clinic/Center · Elma, WA · NPI 1811025216
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 9, 2023.

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1609520592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E MAIN ST",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985419353",
            "telephone_number": "360-346-2222",
            "fax_number": "360-346-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E MAIN ST",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985419560",
            "telephone_number": "360-346-2222",
            "fax_number": "360-346-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "SARAH",
        "middle_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61264708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary Ellen Biggerstaff, ARNP
• David S Blackett, D.D.S.
• Rebecca Jane Blumberg, LMP
• Laura Brownsmith, ARNP
• Donna Jean Burkhart, SWAA
• Michele Burtner
• Andrew J Burton, PHARMD
• Teresa Kneeland Carlson, P.T.

All providers in Elma, WA · Family Nurse Practitioner in Washington