Ashley Suzannah Bradshaw, MS, RD,LDN is a
Dietitian, Registered based in Mt Zion, Illinois. Ashley Suzannah Bradshaw is licensed to practice in Illinois (license number 164.006035) and her current practice location is
1045 N Hwy 121, Mt Zion, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 864-2085.
NPI number for Ashley Suzannah Bradshaw is 1265860274 and her current mailing address is 1045 N Hwy 121, Mt Zion, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265860274.
Healthcare Provider's Profile
Full Name | Ashley Suzannah Bradshaw |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1045 N Hwy 121, Mt Zion, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265860274
- Provider Enumeration Date: 10/30/2013
- Last Update Date: 10/30/2013
Medical Identifiers
Medical identifiers for Ashley Suzannah Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265860274 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 164.006035 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashley Suzannah Bradshaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ashley Suzannah Bradshaw, MS, RD,LDN 1045 N Hwy 121, Mt Zion, IL 62549-1219 Ph: (217) 864-2085 | Ashley Suzannah Bradshaw, MS, RD,LDN 1045 N Hwy 121, Mt Zion, IL 62549-1219 Ph: (217) 864-2085 |
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