Wendy Lea Bradshaw

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

921470 Issued in FL

Practice address

6258 Forestwood Dr E
Lakeland, FL 33811-2401

Phone

(863) 640-4480

NPI assigned

Dec 19, 2007

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Milestones Early Intervention, LLC

  • Early Intervention Provider Agency
  • Lakeland, FL
  • NPI 1578747069
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1669656120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6258 FORESTWOOD DR E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338112401",
            "telephone_number": "863-640-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6258 FORESTWOOD DR E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338112401",
            "telephone_number": "863-640-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "WENDY",
        "middle_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "921470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terence Patrick Braden III, D.O.
• Glendon Wayne Bradley, PMHNP
• Minu Elizabeth Bradley, PMHNP
• John R Bradshaw, MD
• Kasey Hope Bradshaw, APRN-C
• Mary E Brady, LPN
• Darrell Braham, DO
• Brain Matters Health Care
• Brainchem Center LLC
• Christina Brake, LPN

• Developmental Therapist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.