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CARISSA KAY BRADLEY
NPI 1093012189
Licensed Practical Nurse in Roseville, MN

Active since February 25, 2011
2800 CLEVELAND AVE N, ROSEVILLE, MN 55113(651) 642-1825 Get Directions Write a Review

NPPES record last updated: February 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carissa Kay Bradley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARISSA KAY BRADLEY (NPI 1093012189) is an individual licensed practical nurse in Roseville, Minnesota, licensed in Minnesota (L0701639) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1093012189
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCARISSA KAY BRADLEY
Location Address2800 CLEVELAND AVE NRoseville, MN 55113-1126
Mailing Address2800 Cleveland Ave NRoseville, MN 55113-1126 · (651) 642-1825
Phone(651) 642-1825
Sole ProprietorYes
Enumeration DateFebruary 25, 2011
✔ NPI 1093012189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MN · L0701639
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2800 CLEVELAND AVE N, Roseville, MN 55113
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI M OSBORN R.N.
Registered Nurse (Home Health)
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113
Ramsey County (651) 642-1825
MELISSA LYNNE SCHMIDT RN
Registered Nurse
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113
Ramsey County (651) 642-1825
MELISSA ANN ELVERUD RN
Registered Nurse
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113
Ramsey County (612) 642-1825
HEATHER MARIE SEMLER
Registered Nurse (Home Health)
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113
Ramsey County (651) 642-1825
KIM MARIE MAKOUSKY
Licensed Practical Nurse
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113
Ramsey County (651) 642-1825
KEATHER LUCI RICHARDS RN
Registered Nurse
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113
Ramsey County (651) 642-1825
CAROL A HACKETT
Registered Nurse
2800 CLEVELAND AVE N
SAINT PAUL, MN 55113
Ramsey County (651) 642-1825
JEAN STUMPF
Registered Nurse
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113
Ramsey County (651) 642-1825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carissa Bradley's NPI number?

The NPI number for Carissa Bradley is 1093012189. It was assigned to this individual provider in the NPPES registry on February 25, 2011.

Where is Carissa Bradley located?

Carissa Bradley practices at 2800 Cleveland Ave N, Roseville, MN 55113. The listed phone number is (651) 642-1825.

What is Carissa Bradley's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Carissa Bradley was last updated on February 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.