COREENA J BRADLEY LPN
NPI 1619257540
Licensed Practical Nurse in Evanston, WY

NPI Status: Active since August 23, 2011

Contact Information

75 YELLOW CREEK RD
STE 105
EVANSTON, WY
ZIP 82930
Phone: (307) 789-4224
Fax: (307) 789-4225

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  • Individual
  • Female
  • Licensed Practical Nurse

About COREENA BRADLEY

This page provides the complete NPI Profile along with additional information for Coreena Bradley, a provider established in Evanston, Wyoming with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1619257540 assigned on August 2011. The practitioner's primary taxonomy code is 164W00000X with license number 245 (WY). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1619257540
Provider Name
COREENA J BRADLEY LPN
Gender
Female
Entity Type
Individual
Location Address
75 YELLOW CREEK RD STE 105 EVANSTON, WY 82930
Location Phone
(307) 789-4224
Location Fax
(307) 789-4225
Mailing Address
75 YELLOW CREEK RD STE 105 EVANSTON, WY 82930
Mailing Phone
(307) 789-4224
Mailing Fax
(307) 789-4225
Is Sole Proprietor?
No
Enumeration Date
08-23-2011
Last Update Date
08-23-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
245
License State
WY
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619257540
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2629451458
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 4 + 5 + 1 + 4 + 5 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1619257540 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205013455MICHAEL D. ADAMS, M.D., P.C.
Organization
Family Medicine75 YELLOW CREEK RD SUITE 102
EVANSTON, WY 82930
(307) 789-8290
1346548088 ALMA D COLEMAN
Individual
Case Manager/Care Coordinator75 YELLOW CREEK RD STE 105
EVANSTON, WY 82930
(307) 789-4224
1235437989 RENEE C WALKER
Individual
Nurse's Aide75 YELLOW CREEK RD STE 105
EVANSTON, WY 82930
(307) 789-4224
1356621213 ADRIENNE SOUTHARD
Individual
Nurse's Aide75 YELLOW CREEK RD 105
EVANSTON, WY 82930
(307) 789-4224
1063794816 RONALD JANEIRO DOLAN PMFT
Individual
Counselor (Professional)75 YELLOW CREEK RD SUITE 105
EVANSTON, WY 82930
(307) 789-4224
1174563241 KIMBERLY ANNE BEGALLA CFNP
Individual
Nurse Practitioner75 YELLOW CREEK RD SUITE 202
EVANSTON, WY 82930
(307) 789-6111
1023177375UINTA URGENT CARE
Organization
Nurse Practitioner (Family)75 YELLOW CREEK RD SUITE 202
EVANSTON, WY 82930
(307) 789-6111
1285003970 TERRICK HARRILD PA
Individual
Physician Assistant75 YELLOW CREEK RD SUITE 102
EVANSTON, WY 82930
(307) 789-8290
1922005347DR. MICHAEL DEAN ADAMS M.D.
Individual
Family Medicine75 YELLOW CREEK RD SUITE 102
EVANSTON, WY 82930
(307) 789-8290
1235495771BEAR LAKE COMMUNITY HEALTH CENTER, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))75 YELLOW CREEK RD SUITE 102
EVANSTON, WY 82930
(307) 789-8290
1083487706HEALTH WEST, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))75 YELLOW CREEK RD
EVANSTON, WY 82930
(208) 232-7862

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619257540, enumerated in the NPI registry as an "individual" on August 23, 2011

The provider is located at 75 Yellow Creek Rd Ste 105 Evanston, Wy 82930 and the phone number is (307) 789-4224

The provider's speciality is Licensed Practical Nurse with taxonomy code 164W00000X

This NPI record was last updated on August 23, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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