BRANDY BRADSHAW
NPI 1174980544
Licensed Practical Nurse in Clinton, MO

Active since January 15, 2016
1800 COMMUNITY, CLINTON, MO 64735(660) 885-8131 Get Directions Write a Review

NPPES record last updated: January 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2016, Jan 15, 2016 (2 updates tracked since 2016).

About Brandy Bradshaw NPPES

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

BRANDY BRADSHAW (NPI 1174980544) is an individual licensed practical nurse in Clinton, Missouri, licensed in Missouri (2003026467) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1174980544
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBRANDY BRADSHAW
Location Address1800 COMMUNITYClinton, MO 64735-8804
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Sole ProprietorYes
Enumeration DateJanuary 15, 2016
Last NPPES UpdateJanuary 20, 20162 updates tracked since enumeration
NPI 1174980544 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 MO · 2003026467
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.
1800 COMMUNITY, Clinton, MO 64735

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.

Counselor (Professional)
1800 COMMUNITY
CLINTON, MO 64735
Counselor (Mental Health)
1800 COMMUNITY
CLINTON, MO 64735
Registered Nurse
1800 COMMUNITY
CLINTON, MO 64735
Clinic/Center (Rehabilitation, Substance Use Disorder)
1800 COMMUNITY
CLINTON, MO 64735
Dental Hygienist
1800 COMMUNITY
CLINTON, MO 64735
Social Worker (Clinical)
1800 COMMUNITY
CLINTON, MO 64735
Community/Behavioral Health
1800 COMMUNITY
CLINTON, MO 64735
Nurse Practitioner (Psychiatric/Mental Health)
1800 COMMUNITY
CLINTON, MO 64735

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 Brandy Bradshaw's NPI number?

The NPI number for Brandy Bradshaw is 1174980544. It was assigned to this individual provider in the NPPES registry on January 15, 2016.

Where is Brandy Bradshaw located?

Brandy Bradshaw practices at 1800 Community, Clinton, MO 64735. The listed phone number is (660) 885-8131.

What is Brandy Bradshaw'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 Brandy Bradshaw was last updated on January 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.