MADISON ASHLEE BRADLEY
Student in an Organized Health Care Education/Training Program

Address: 150 N 1100 E Unit 33, Washington, UT 84780-2880

MADISON ASHLEE BRADLEY (NPI# 1093398711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093398711
Entity Type Individual
Full Name MADISON ASHLEE BRADLEY
Gender Female
Credential PHYSICIAN ASSISTANT
Practice Address 150 N 1100 E Unit 33
Washington
UT 84780-2880
Practice Telephone 8018671957
Mailing Address 150 N 1100 E Unit 33
Washington
UT 84780-2880
Mailing Telephone 8018671957
Certification Date 2021-04-30
Enumeration Date 2021-04-30
Last Update Date 2021-04-30
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 150 N 1100 E UNIT 33
City WASHINGTON
State UT
Zip Code 84780-2880

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NPI Name Taxonomy Address Enumeration
1508807678 Kevin Troy Allen Chiropractor 43 N 300 W, Suite B, Washington, UT 84780-1524 2006-06-09
1760011555 A Bcba, LLC Behavioral Analyst 236 Quail Ridge Dr Apt 10, Washington, UT 84780-1483 2020-04-03
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1558515619 Kolene Faye Granger Psychologist - Counseling 1415 N Old Course Rd, Washington, UT 84780-1339 2008-11-15
1710349444 Benjamin Toolson Physical Therapist 568 W Telegraph St Ste 4, Washington, UT 84780-1206 2016-03-22
1689188799 Misti Michelle Miller Massage Therapist 568 W Telegraph St, Washington, UT 84780-1205 2017-11-28
1851800932 Ashley Rose Koontz Community Health Worker 236 Quail Ridge Dr Apt 10, Washington, UT 84780-1483 2017-09-21
1033373816 Stacy Leigh Niemann Speech-Language Pathologist 1032 E 100 S, St George, UT 84780 2008-07-11
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275117053 Salima Mansoor Ali Student in an Organized Health Care Education/Training Program 3800 Reservoir Rd Nw Department of Pathology, Medstar Georgetown University Hospital, Washington, DC 20007 2021-05-08
1558945345 Brittany Florence Student in an Organized Health Care Education/Training Program 1878 S Mojave Dr Bsmt, Washington, UT 84780-8263 2021-05-08
1427630599 Mercedes Carter Student in an Organized Health Care Education/Training Program 409 W Telegraph St, Washington, UT 84780-1535 2021-04-27
1972185312 Natalie Alena Rosseau Student in an Organized Health Care Education/Training Program Dept of Surgery, 3800 Reservoir Road Nw, Washington, DC 20007 2021-04-26
1760063622 Andrew Persaud 2300 I St Nw, Washington, DC 20052-0015 2021-04-20
1477134930 Apurva R Chopade Student in an Organized Health Care Education/Training Program 2041 George Ave Nw, Washington, DC 20060-0001 2021-04-16
1427638014 Antoinette Abban Student in an Organized Health Care Education/Training Program Tower Building Suite 2100, 2041 Georgia Ave. Nw, Washington, DC 20060 2021-04-09
1033798749 Jason Silvestre Student in an Organized Health Care Education/Training Program Program Office Address Howard University Hospital, Washington, DC 20060-0001 2021-04-08
1013596766 Sarah Johrde Student in an Organized Health Care Education/Training Program 925 Half St Se, Washington, DC 20003-3658 2021-04-07
1215516588 John Gharbin Student in an Organized Health Care Education/Training Program 2041 Georgia Avenue Nw Howard University Hospital, Washington, DC 20060-0001 2021-04-05
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Zip Code 84780

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.