MS. VIRGINIA BRADSHAW APRN BC NPI 1598795007

NPI Information

NPI: 1598795007
Provider Name: MS. VIRGINIA BRADSHAW, APRN, BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

CLIA Number: 49D2171997

Address:
24 WHITE BRIDGE PIKE
NASHVILLE, TN
ZIP 37205
Phone: (615) 352-0011
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MS. Virginia Bradshaw, APRN, BC is a gerontology nurse practitioner in Nashville, TN with 28 years of experience. MS. Virginia Bradshaw, APRN, BC NPI is 1598795007. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

24 WHITE BRIDGE PIKE
NASHVILLE, TN
ZIP 37205-411
Phone: (615) 352-0011
Fax: (615) 352-0085

The NPI 1598795007 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 49D2171997 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 1/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	APN0000007319	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3043372	MEDICAID	TENNESSEE
2	3711015	OTHER	TENNESSEE	MEDICARE PTAN
3	3046283	OTHER	TENNESSEE	BCBS PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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