Individual provider Active NPI

Earniecia Mae Bradley, LPN

  • Home Health Agency
  • Chesterfield, MO
National Provider Identifier
1891432175
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2022015958 Issued in MO
Practice address
100 Chesterfield Business Pkwy Ste 200
Chesterfield, MO 63005-1271
Phone
(314) 485-9575
NPI assigned
May 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 2022015958 MO
Home Health Agency 251E00000X 2022015958 MO Primary

Addresses

Primary practice location

100 Chesterfield Business Pkwy Ste 200
Chesterfield, MO 63005-1271

Mailing address

2927 Willow Creek Estates Dr
Florissant, MO 63031-1665
Phone (314) 283-2415

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL epidemehealthcare.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
2022015958MOMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Epideme Enterprise Healthcare LLC Home Health CurrentSince May 1, 2022 Accepting new patients

Locations

100 Chesterfield Business Pkwy
Ste 200
Chesterfield, MO 63005
Phone (636) 681-1340

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1891432175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 WILLOW CREEK ESTATES DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311665",
            "telephone_number": "314-283-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHESTERFIELD BUSINESS PKWY STE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051271",
            "telephone_number": "314-485-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "EARNIECIA",
        "middle_name": "MAE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2022015958",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "2022015958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "epidemehealthcare.com",
            "affiliation": "N",
            "endpointDescription": "home healthcare agency",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2927 Willow Creek Estates Dr",
            "city": "Florissant",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630311665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.