Active NPI
Angela Bradshaw, RDN, LD
- Registered Dietitian
- Searcy, AR
National Provider Identifier
1871234039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1530
- Practice address
- 3214 E Race Ave
Searcy, AR 72143-4810 - Phone
- (501) 380-3450
- NPI assigned
- Apr 3, 2022
- Last updated
- Apr 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1530 | AR | Primary |
Addresses
Primary practice location
3214 E Race Ave
Searcy, AR 72143-4810
Mailing address
203 Carter Rd
Rose Bud, AR 72137-9368
Phone (501) 230-6758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1530 | AR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648944000000",
"number": "1871234039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 CARTER RD",
"city": "ROSE BUD",
"state": "AR",
"postal_code": "721379368",
"telephone_number": "501-230-6758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3214 E RACE AVE",
"city": "SEARCY",
"state": "AR",
"postal_code": "721434810",
"telephone_number": "501-380-3450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADSHAW",
"first_name": "ANGELA",
"credential": "RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-03",
"last_updated": "2022-04-03",
"certification_date": "2022-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "1530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.