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ALICON KAY BRADSHAW PMHNP
NPI 1164768834
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY

Active since December 27, 2012
4601 CHAMBERLAIN LN, LOUISVILLE, KY 40241(502) 384-2844 Get Directions Write a Review

NPPES record last updated: August 9, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alicon Kay Bradshaw Pmhnp NPPES

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

ALICON KAY BRADSHAW PMHNP (NPI 1164768834) is an individual psychiatric/mental health provider in Louisville, Kentucky, licensed in Kentucky (3006770) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1164768834
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameALICON KAY BRADSHAWCredential: PMHNP
Location Address4601 CHAMBERLAIN LNLouisville, KY 40241-1159
Mailing Address4601 Chamberlain LnLouisville, KY 40241-1159 · (502) 384-2844
Phone(502) 384-2844
Sole ProprietorNo
Enumeration DateDecember 27, 2012
Last NPPES UpdateAugust 9, 2013
✔ NPI 1164768834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 3006770
4601 CHAMBERLAIN LN, Louisville, KY 40241
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Other Identifiers 1

Medicaid7100231860KY

Other Providers at the Same Location NPPES 5

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

NORTHEAST CHRISTIAN CHURCH
Counselor (Professional)
4601 CHAMBERLAIN LN
LOUISVILLE, KY 40241
Jefferson County (502) 212-0432
ANDREA DAWN WILLIAMS LPCC, CADC
Counselor (Addiction (Substance Use Disorder))
4601 CHAMBERLAIN LN
LOUISVILLE, KY 40241
Jefferson County (502) 384-2844
MICHELLE WREN MFTA
Marriage & Family Therapist
4601 CHAMBERLAIN LN
LOUISVILLE, KY 40241
Jefferson County (502) 384-2844
JULIE ETHERTON
Marriage & Family Therapist
4601 CHAMBERLAIN LN
LOUISVILLE, KY 40241
Jefferson County (502) 384-2844
MRS. TRACI BRAUN M.ED., LPCC
Counselor (Mental Health)
4601 CHAMBERLAIN LN
LOUISVILLE, KY 40241
Jefferson County (502) 384-2844

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 Alicon Bradshaw's NPI number?

The NPI number for Alicon Bradshaw is 1164768834. It was assigned to this individual provider in the NPPES registry on December 27, 2012.

Where is Alicon Bradshaw located?

Alicon Bradshaw practices at 4601 Chamberlain Ln, Louisville, KY 40241. The listed phone number is (502) 384-2844.

What is Alicon Bradshaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Alicon Bradshaw was last updated on August 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.