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Active NPI 1114486743 Individual Practitioner Female Practitioner

Lisa Charisee Bradley , REGISTERED NURSE

Homemaker • Saint Louis, MO

Professional Overview & Biography Verified Profile Summary

Lisa Bradley, REGISTERED NURSE is a registered healthcare professional specializing in Homemaker in Saint Louis, MO. Practice services are available at 4135 HOLMAN LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4135 Holman Ln

Saint Louis, MO 631343925

Telephone 3144796121
Fax 3144796121
Associated Practice Facility / Clinic
🏢 Infiniti Homecare Consumer Directed Services, Llc Facility NPI 1912342049

Specialty Benchmarks & Practice Insights

Comparative analytics for Homemaker in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
13 Specialists

Practicing in Saint Louis, MO (47 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Homemaker Primary Specialty

NUCC Taxonomy Code: 376J00000X

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
431921811 (MO)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active March 13, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2019

Registered at 4135 HOLMAN LN, SAINT LOUIS, MO 631343925 (Tel: 3144796121)

📍
Updated Business Mailing Address March 13, 2019

Registered at 4135 HOLMAN LN, SAINT LOUIS, MO 631343925 (Tel: 3144796121)

👤
Provider Name / Credentials Updated March 13, 2019

Recorded as LISA BRADLEY, REGISTERED NURSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2019

Homemaker

🟢
Initial NPI Registration & Enumeration March 13, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114486743
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2019
Last Update: March 13, 2019
Sole Proprietor: No
Update or Correct Profile

Mailing Address

4135 Holman Ln

Saint Louis, MO 631343925

Phone: 3144796121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.