Active NPI
Laurie Bradley
- Marriage & Family Therapist
- Madison, TN
National Provider Identifier
1982935144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 850
- Practice address
- 333 Gallatin Rd
Suite 14
Madison, TN 37115 - Phone
- (615) 612-0580
- Fax
- (615) 860-0656
- NPI assigned
- Jan 27, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 850 | TN | Primary |
Addresses
Primary practice location
333 Gallatin Rd
Suite 14
Madison, TN 37115
Mailing address
559 Highcrest Dr
Nashville, TN 37211-5353
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1982935144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 HIGHCREST DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372115353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 GALLATIN RD",
"address_2": "SUITE 14",
"city": "MADISON",
"state": "TN",
"postal_code": "37115",
"telephone_number": "615-612-0580",
"fax_number": "615-860-0656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "LAURIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-27",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.