Marisa A Bradshaw, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

37025 Issued in TN

Practice address

624 Grassmere Park Ste 15
Nashville, TN 37211-3671

Phone

(877) 726-0776

NPI assigned

Aug 21, 2024

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 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, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Option Care Infusion Services, LLC.

  • Infusion Therapy Clinic/Center
  • Nashville, TN
  • NPI 1184205932
  Medicare reassignment NPD
• Sentef Medical Center

  • Clinic/Center
  • Ooltewah, TN
  • NPI 1043418742
  NPD
• Walliser Medical Center LLC

  • Family Medicine Physician
  • Ooltewah, TN
  • NPI 1538958574
  NPD

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1922831429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 GRASSMERE PARK STE 15",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113671",
            "telephone_number": "877-726-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 GRASSMERE PARK STE 15",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113671",
            "telephone_number": "877-726-0776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Weatherly Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370438957",
            "country_code": "US",
            "telephone_number": "877-726-0776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 N Hickory Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385013936",
            "country_code": "US",
            "telephone_number": "877-726-0776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 E James Campbell Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "38401",
            "country_code": "US",
            "telephone_number": "877-726-0776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "MARISA",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "227907",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Lee Bradner, MD
• David Edward Brado, R.PH.
• Allison Bradshaw, PH.D.
• Elizabeth A Bradshaw, PA
• Gina Guthrie Bradshaw, ACNP
• Marques L. Bradshaw, MD
• Virginia Bradshaw, APRN, BC
• Cassandra Corinne Brady, M.D.
• Donald W Brady, MD
• Karen Louise Brady, R,N.

• Family Nurse Practitioner in Nashville, TN
• Providers in Nashville, 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 Jul 9, 2026; 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.