Sherrie Bradley, RN

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

1015 Pecan St
Clifton, TX 76634-1453

Phone

(254) 722-1056

NPI assigned

Aug 15, 2018

Last updated

Jun 12, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Advanced Life Services Home Health LLC

  • Home Health Agency
  • Waco, TX
  • NPI 1649662495
  NPD (past)

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1689154072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 PECAN ST",
            "city": "CLIFTON",
            "state": "TX",
            "postal_code": "766341453",
            "telephone_number": "254-722-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 PECAN ST",
            "city": "CLIFTON",
            "state": "TX",
            "postal_code": "766341453",
            "telephone_number": "254-722-1056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3640 W Waco Dr",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "76710",
            "country_code": "US",
            "telephone_number": "254-307-8607",
            "fax_number": "254-765-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SHERRIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "784686",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bosque County Hospital District (Goodall-Witcher Home Health Agency)
• Bosque County Hospital District (Goodall-Witcher Clinic in Clifton)
• Don Randall Bostick, FNP-C
• Phillip Bowers
• Janice Annette Boyd, COTA
• Brookshire Grocery Company (Brookshires Pharmacy)
• Clifton Isd
• Clifton Medical Equipment & Supply Inc
• Clifton Nursing and Rehabilitation LP
• Leon B Cotten Jr., M.D.

• Home Health Agency in Clifton, TX
• Providers in Clifton, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.