Valeah Lynn Bradshaw

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024184894 Issued in VA

Practice address

388 Ben Bolt Ave
Tazewell, VA 24651-5386

Phone

(276) 988-8850

NPI assigned

Apr 14, 2022

Last updated

Apr 20, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, WV2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16885/brand/1/csg/1/fhir/r4
• Direct secure messaging: valeah.bradshaw.1@16885.direct.athenahealth.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.

• Carilion Giles Community Hospital

  • Critical Access Hospital
  • Pearisburg, VA
  • NPI 1194718304
  Medicare reassignment NPD
• Brandon M Lingenfelter DO PHD

  • Obstetrics & Gynecology Physician
  • Princeton, WV
  • NPI 1255788758
  Medicare reassignment NPD
• Carilion Giles Community Hospital

  • Durable Medical Equipment & Medical Supplies
  • Galax, VA
  • NPI 1639980493
  NPD
• Brandon M Lingenfelter DO PHD

  • Rural Health Clinic/Center
  • Princeton, WV
  • NPI 1619842465
  NPD

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1982347480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1279",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247401279",
            "telephone_number": "681-282-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 BEN BOLT AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246515386",
            "telephone_number": "276-988-8850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Miles Cir",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "VA",
            "postal_code": "246059607",
            "country_code": "US",
            "telephone_number": "276-245-6133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "VALEAH",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024184894",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Brooks Beckner, PA-C
• Ester Bourne
• Gizele Bowen, RPH
• Stephanie Michelle Bowers
• Jacob Bowles, PA-C
• Rebecca Hope Brown
• Alexis Butler, OTR/L
• Carilion Giles Community Hospital (Carilion Clinic Family Medicine)
• Carilion Medical Center (Carilion Clinic Family Medicine)
• Carilion Tazewell Community Hospital

• Nurse Practitioner in Tazewell, VA
• Providers in Tazewell, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.