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MRS. SHANTELL BRADLEY
NPI 1417432295
Licensed Practical Nurse in Massapequa, NY

Active since September 27, 2018
1 BAILEY DR, MASSAPEQUA, NY 11758(516) 799-0389 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Mrs. Shantell Bradley NPPES

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

MRS. SHANTELL BRADLEY (NPI 1417432295) is an individual licensed practical nurse in Massapequa, New York, licensed in New York (238451) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1417432295
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. SHANTELL BRADLEY
Location Address1 BAILEY DRMassapequa, NY 11758-3602
Mailing Address1 Bailey DrMassapequa, NY 11758-3602 · (516) 799-0389
Phone(516) 799-0389
Sole ProprietorNo
Enumeration DateSeptember 27, 2018
✔ NPI 1417432295 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 NY · 238451
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.
1 BAILEY DR, Massapequa, NY 11758
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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 Shantell Bradley's NPI number?

The NPI number for Shantell Bradley is 1417432295. It was assigned to this individual provider in the NPPES registry on September 27, 2018.

Where is Shantell Bradley located?

Shantell Bradley practices at 1 Bailey Dr, Massapequa, NY 11758. The listed phone number is (516) 799-0389.

What is Shantell 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 Shantell Bradley was last updated on September 27, 2018. 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.