Tierra Rene Bradley

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TIERRA RENE BRADLEY

Practice address

3700 Pecos McLeod Ste 100
Las Vegas, NV 89121-4259

Phone

(702) 335-5714

NPI assigned

Dec 31, 2018

Organization subpart

No

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

Authorized official

Name

Tierra BradleyNPI 1750817227

Title

Owner

Phone

(702) 335-5714

Specialties & licenses 1

Addresses

Other names 1

• Alyrik of Angels Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tierra Bradley

  • Rehabilitation Practitioner
  • Las Vegas, NV
  • NPI 1750817227
  NPD (past) Authorized official

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1750853883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 DUCK HILL SPRINGS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891223509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PECOS MCLEOD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214259",
            "telephone_number": "702-335-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIERRA RENE BRADLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "TIERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-335-5714"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alyrik of Angels Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dave Tien
• Lynn X Tien
• Cynthia Tiencharoen
• Kayla Tier, RBT
• John Tierney III
• Eric Joseph Tiesi
• Ashley Tietz
• Tif Inc
• Jerale Tiffith
• Tiana B Tiffith

• Mental Health Clinic/Center (Including Community Mental Health Center) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.