Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Siddeequa Moneek Bradshaw, MSN, APRN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1124624465

Mrs. Siddeequa Moneek Bradshaw, MSN, APRN, FNP-C is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2019, 7 years ago. Practices with Applebaum Physiatry PLLC, a 137-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2020
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1752 Southampton Dr SE
Grand Rapids, MI 49508-2647
Phone: (616) 889-3665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704251077 (MI)

Record details

NPI number1124624465
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , APRN , FNP-C
Sole proprietorNo
NPI enumeratedDecember 10, 2020
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Applebaum Physiatry Pllc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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