LISA CHARISEE BRADLEY REGISTERED NURSE
NPI 1114486743
Homemaker in Saint Louis, MO

Q: What is Lisa Bradley's NPI number?

The NPI number for Lisa Bradley is 1114486743. It was assigned to this individual provider in the NPPES registry on March 13, 2019.

Q: What is Lisa Bradley's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Bradley was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 13, 2019

4135 HOLMAN LN, SAINT LOUIS, MO 63134(314) 479-6121(314) 479-6121 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Charisee Bradley Registered Nurse NPPES

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

LISA CHARISEE BRADLEY REGISTERED NURSE (NPI 1114486743) is an individual homemaker provider in Saint Louis, Missouri and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1114486743

Entity TypeIndividualFemale

Primary Taxonomy376J00000X

Provider Legal NameLISA CHARISEE BRADLEYCredential: REGISTERED NURSE

Location Address4135 HOLMAN LNSaint Louis, MO 63134-3925

Mailing Address4135 Holman LnSaint Louis, MO 63134-3925 · (314) 479-6121 · Fax (314) 479-6121

Phone(314) 479-6121

Fax(314) 479-6121

Sole ProprietorNo

Enumeration DateMarch 13, 2019

✔ NPI 1114486743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHomemakerNursing Service Related Providers

Taxonomy Code376J00000X

Definition

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

4135 HOLMAN LN, Saint Louis, MO 63134

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Other Identifiers 1

Medicaid431921811MO

Other Providers at the Same Location NPPES 2

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

INFINITI HOME CARE, INC.

Home Health

4135 HOLMAN LN
SAINT LOUIS, MO 63134

St. Louis County (314) 479-6121

INFINITI HOMECARE CONSUMER DIRECTED SERVICES, LLC

Technician (Personal Care Attendant)

4135 HOLMAN LN
SAINT LOUIS, MO 63134

St. Louis County (314) 479-6121

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 Lisa Bradley's NPI number?

The NPI number for Lisa Bradley is 1114486743. It was assigned to this individual provider in the NPPES registry on March 13, 2019.

Where is Lisa Bradley located?

Lisa Bradley practices at 4135 Holman Ln, Saint Louis, MO 63134. The listed phone number is (314) 479-6121.

What is Lisa Bradley's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Lisa Bradley was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.