Individual provider Active NPI

Julia C Bradbury, APRN

  • Adult Health Nurse Practitioner
  • Paola, KS
National Provider Identifier
1700122306
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5375786061 Issued in KS
Practice address
501 Assembly LN
Paola, KS 66071-1854
Phone
(913) 660-1616
NPI assigned
Dec 31, 2012
Last updated
Apr 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2013001303 MO
Adult Health Nurse Practitioner 363LA2200X 5375786061 KS Primary

Addresses

Primary practice location

501 Assembly LN
Paola, KS 66071-1854

Mailing address

36123 Schoolcraft Rd
Livonia, MI 48150-1216
Phone (913) 660-1616

Other practice location 1

10540 Marty St
Suite 100
Overland Park, KS 66212-2551
Phone (913) 660-1616

Other names 1

  • Julia C Theis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130401000156 KS Practitioner - Nurse Practitioner 6406091115 Reassigns benefits to 4 organizations
I20130426000473 MO Practitioner - Nurse Practitioner 6406091115 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Kansas Post Acute Medical Services 1 PAGroup PAC ID 1557634193, 58 clinicians
CS Pacs 3 Midwest LLCGroup PAC ID 4183164734, 36 clinicians
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians

Practice addresses (Care Compare)

11909 Lamar Ave
Leawood, KS 66209-2706
Phone (913) 906-9696

12802 Johnson Dr
Shawnee, KS 66216-1645
Phone (913) 871-9934

16207 Midland Dr
Shawnee, KS 66217-9499
Phone (913) 248-6600

17500 W 119TH St
Olathe, KS 66061-9524
Phone (913) 213-1686

2727 N Rock Rd
Larksfield Place
Wichita, KS 67226-1142
Phone (316) 636-1000

719 N Klein Cir
Derby, KS 67037-7019
Phone (316) 260-4447

8710 Caenen Lake Rd
Lenexa, KS 66215-2069
Phone (913) 894-6979

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5375786061KSMDAdult Health Nurse Practitioner
2013001303MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Post Acute Medical Services 1 PA CurrentSince Aug 1, 2017 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Nov 18, 2015 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Nov 18, 2015 Accepting new patients
Inpatient Consultants of Kansas PA Current Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Aug 22, 2024 Accepting new patients
Mi Pacs 2 PC Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686

501 Assembly Ln
Paola, KS 66071
Phone (913) 294-3345

601 E Main St
Pretty Prairie, KS 67570
Phone (620) 459-6822

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

251 E Wilson St
Spring Hill, KS 66083
Phone (913) 592-3100

800 Chambers Rd
Ferguson, MO 63135
Phone (314) 522-8100

6301 E 125th St
Grandview, MO 64030
Phone (816) 765-7714

3660 Summit St
Kansas City, MO 64111
Phone (816) 531-1089

1221 S Business Highway 13
Lexington, MO 64067
Phone (660) 259-4695

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1700122306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36123 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501216",
            "telephone_number": "913-660-1616",
            "fax_number": "913-660-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ASSEMBLY LN",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711854",
            "telephone_number": "913-660-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10540 Marty St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662122551",
            "country_code": "US",
            "telephone_number": "913-660-1616",
            "fax_number": "913-660-1664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADBURY",
        "first_name": "JULIA",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2013001303",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "5375786061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "THEIS",
            "middle_name": "C",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paola, KS

Sources for this page

Verify at the official NPI Registry.