Jacqueline Jones Bradley, CNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN51705 Issued in DC

Practice address

2101 E Jefferson St
Rockville, MD 20852-4908

Phone

(301) 816-2424

Fax

(301) 388-1740

NPI assigned

Dec 29, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in DC, MD2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacqueline.bradley.1@19581.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19581/brand/1/csg/1/fhir/r4

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.

• Express Healthcare, LLC

  • Urgent Care Clinic/Center
  • Berwyn Heights, MD
  • NPI 1598994733

  DC

  Medicare reassignment NPD
• Med-Ped Health Care LLC

  • Family Medicine Physician
  • Berwyn Heights, MD
  • NPI 1336296730

  DC

  Medicare reassignment NPD
• Got Your Back Chiropractic, PC

  • Chiropractor
  • Washington, DC
  • NPI 1255876959
  NPD
• Express Healthcare, LLC

  • Urgent Care Clinic/Center
  • College Park, MD
  • NPI 1447605712
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1740346998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MASSACHUSETTS AVE NW",
            "address_2": "STE 250",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164316",
            "telephone_number": "202-629-3536",
            "fax_number": "202-379-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E JEFFERSON ST",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524908",
            "telephone_number": "301-816-2424",
            "fax_number": "301-388-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JACQUELINE",
        "middle_name": "JONES",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R089410",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DC",
            "license": "RN51705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Braddy
• Cassidy Bradford
• Hannah Vance Bradford, M AC
• Joshua Bradford
• Bradley Hunter, DO, LLC
• Joshua Bradley
• Mary-Margaret Bradley, RN APRN
• Megan Bradley
• Saeed Bradley
• Keara Bradsher

• Primary Care Nurse Practitioner in Rockville, MD
• Providers in Rockville, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.