Kristi Dale Bradshaw, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000017714 Issued in TN

Practice address

229 Hedrick Dr
Newport, TN 37821-2902

Phone

(423) 623-1057

Fax

(423) 625-8620

NPI assigned

Jul 11, 2013

Last updated

Nov 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Medical Services, Inc.Group PAC ID 1456384080, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Knoxville, TN, CCN 447312
• Tennova Healthcare - Newport Medical Center Hospital, Newport, TN, CCN 440153

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristi.bradshaw.p1@direct.ruralmedicalservices.nextgenshare.com

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.

• Rural Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newport, TN
  • NPI 1962443697
  Medicare reassignment Care Compare group NPD
• Newport Internal Medicine, PC

  • Internal Medicine Physician
  • Newport, TN
  • NPI 1821201112
  NPD
• Rural Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newport, TN
  • NPI 1437191194
  NPD
• Rural Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • White Pine, TN
  • NPI 1477424802
  NPD
• Rural Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrottsville, TN
  • NPI 1669417481
  NPD
• Rural Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dandridge, TN
  • NPI 1871535583
  NPD
• Rural Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartford, TN
  • NPI 1871537639
  NPD

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

• Cocke County Hma, LLC

  dba Tennova Healthcare-Newport Medical Center

  • General Acute Care Hospital
  • Newport, TN
  • NPI 1972576247
  Care Compare affiliation
• Comprehensive Home Healthcare Services LLC

  dba Amedisys Home Health Care

  • Home Health Agency
  • Knoxville, TN
  • NPI 1710935408
  Care Compare affiliation

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1861833436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 HEDRICK DR",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378212902",
            "telephone_number": "423-623-1057",
            "fax_number": "423-625-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 HEDRICK DR",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378212902",
            "telephone_number": "423-623-1057",
            "fax_number": "423-625-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "KRISTI",
        "middle_name": "DALE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000017714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Marie Bohrer, MD
• Micah Bonner, MA, LADAC-II
• Heather Sunshine Bossie, APRN, FNP-C PMHNP-BC
• Karoline Bowman, LPC-MHSP
• Gregory Bradley, PHARMD.
• Heather Nicole Browder, LCSW
• Rachel Brown, LCSW
• Jennifer Layman Buckner, PTA
• Nancy Mae Buckner, RN
• Courtney Vance Burgin, FNP-BC

• Family Nurse Practitioner in Newport, TN
• Providers in Newport, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.