Sharon Bradac-Clendenen, F.N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

NP2338 Issued in CA

Practice address

1355 East St
Ste 100
Redding, CA 96001-0801

Phone

(530) 225-8500

Fax

(530) 246-4000

NPI assigned

Mar 22, 2007

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

Other identifiers 2

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679699318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 994032",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960994032",
            "telephone_number": "530-241-0473",
            "fax_number": "530-241-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 EAST ST",
            "address_2": "STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010801",
            "telephone_number": "530-225-8500",
            "fax_number": "530-246-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADAC-CLENDENEN",
        "first_name": "SHARON",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "NP2338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN188124",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "FNP2338",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall Boyer, M.D.
• Genevieve Edette Boylan
• Amanda Christine Boyle
• Robert Clark Boyle, PSY.D
• Brandon Tyler Brackett
• Braden Partners LP
• Deven Dwayne Braden
• Tasha R Braden
• Steven Bradley
• Tzveta Bradley

• Women's Health Nurse Practitioner in Redding, CA
• Providers in Redding, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.