| Ms Amy D Bradshaw, RD, CDE | |
|
3555 Lutheran Pkwy Ste 180, Wheat Ridge, CO 80033-6000 | |
| (303) 403-7930 | |
| (303) 425-2792 |
| Full Name | Ms Amy D Bradshaw |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3555 Lutheran Pkwy Ste 180, Wheat Ridge, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316225089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Intermountain Front Range, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083444079 PECOS PAC ID: 6800799537 Enrollment ID: O20040130000049 |
| Provider Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Amy D Bradshaw, RD, CDE 500 Eldorado Blvd Ste 6250, Broomfield, CO 80021-3421 Ph: (303) 272-0768 | Ms Amy D Bradshaw, RD, CDE 3555 Lutheran Pkwy Ste 180, Wheat Ridge, CO 80033-6000 Ph: (303) 403-7930 |
Rebecca Abraham, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4803 Ward Rd, Wheat Ridge, CO 80033 Phone: 303-817-9886 | |
Madison Tuggle, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 3455 Lutheran Pkwy Ste 220, Wheat Ridge, CO 80033 Phone: 303-403-3030 | |
Jennie Kim, MPH, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-425-4500 | |
Mrs. Cheryl D Chao, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-425-2499 Fax: 303-403-3648 | |
Sarah Weaver, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3455 Lutheran Pkwy Ste 220, Wheat Ridge, CO 80033 Phone: 303-403-3030 | |
Kelly Legros Strickler, REGISTERED DIETITIAN Dietitian Medicare: Medicare Enrolled Practice Location: 3570 Parfet St, Wheat Ridge, CO 80033 Phone: 720-476-1321 |