Active NPI
Christine T Bradley, ARNP
- Nurse Practitioner
- Englewood, FL
National Provider Identifier
1659462406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP2952912
- Practice address
- 190 W Dearborn St
Englewood, FL 34223-3237 - Phone
- (941) 474-3359
- Fax
- (941) 475-7573
- NPI assigned
- Sep 27, 2006
- Last updated
- Oct 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP2952912 | FL | Primary |
Addresses
Primary practice location
190 W Dearborn St
Englewood, FL 34223-3237
Mailing address
3434 Hancock BR Pkwy
N Ft Myers, FL 33903-7094
Phone (877) 856-3774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y01FR | Other | FL | FL BC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1659462406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3434 HANCOCK BR PKWY",
"city": "N FT MYERS",
"state": "FL",
"postal_code": "339037094",
"telephone_number": "877-856-3774",
"fax_number": "239-599-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 W DEARBORN ST",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342233237",
"telephone_number": "941-474-3359",
"fax_number": "941-475-7573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "CHRISTINE",
"middle_name": "T",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP2952912",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BC",
"identifier": "Y01FR",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.