Stephanie Jeanelle Bradshaw, REGISTERED DIETICIAN
NPI 1891273041ActiveIndividual· Dietitian, Registered· Sierra Vista, AZ
Dietitian, Registered (REGISTERED DIETICIAN) in Sierra Vista, Arizona, licensed in AZ, with an NPI issued in July 2018.
Overview
| NPI | 1891273041 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | REGISTERED DIETICIAN |
| Sole proprietor | Yes |
| NPI issued | Jul 31, 2018 |
| Last updated in NPPES | Jul 31, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 86071110 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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