REBA M. BRADY (NPI# 1497972673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497972673 |
| Entity Type | Individual |
| Full Name | REBA M. BRADY |
| Other Name | MS. REBA M. BRACY |
| Credential | M.A., CDC II |
| Practice Address |
2151 Hemmer Road Palmer AK 99645 |
| Practice Telephone | 9077457039 |
| Practice Fax Number | 9077457069 |
| Mailing Telephone | 9077457039 |
| Mailing Fax Number | 9077457069 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
AK | Behavioral Health & Social Service Providers |
| Street Address |
2151 HEMMER ROAD |
| City | PALMER |
| State | AK |
| Zip Code | 99645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609365279 | Patricia Roberts | Counselor | 1089 Park St, Palmer, MA 01069-1745 | 2018-05-09 |
| 1609054774 | William James Dougherty | Counselor | 3504 Freemansburg Ave, Palmer, PA 18045-5107 | 2008-01-31 |
| 1952961807 | Leann Renick | Counselor | 561 S Denali St Ste F, Palmer, AK 99645-6464 | 2019-06-13 |
| 1598325433 | Tatyana Disla | Counselor | 561 S Denali St Ste F, Palmer, AK 99645-6464 | 2019-06-13 |
| 1396305249 | Norman Lingley | Counselor | 561 S Denali St Ste F, Palmer, AK 99645-6464 | 2019-06-13 |
| 1932769882 | Elizabeth Butler | Counselor | 561 S Denali St Ste F, Palmer, AK 99645-6464 | 2019-06-13 |
| 1487099487 | Amanda Leigh Wolfe | Counselor | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7457 | 2013-05-03 |
| 1376577528 | Jessica Rose Burgess-wise | Counselor | 40 Wright Street, Wing Memorial Hospital Griswold Center, Palmer, MA 01069 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003830 | Lauren Marie Bennett | Counselor | 1170 Marsh Laurel Ave, North Pole, AK 99705-5969 | 2020-11-05 |
| 1285234419 | Amanda Paulette Gannon | Counselor | 201 Deermount St Fl 2, Ketchikan, AK 99901-6649 | 2020-10-27 |
| 1740889351 | Deborah Diane Merritt | Counselor | 362 Tyee St, Soldotna, AK 99669-7631 | 2020-10-23 |
| 1295334993 | Terria Jean Vandenhuerk | Counselor | 7125 Old Seward Hwy Ste 201, Anchorage, AK 99518-2282 | 2020-10-22 |
| 1588261630 | Maia Stack | Counselor | 222 Tongass Dr Bldg 1206, Sitka, AK 99835-9416 | 2020-10-01 |
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1104438365 | Jalon Alexander Mccullough | Counselor | 542 4th Ave Ste B-101, Fairbanks, AK 99701-4707 | 2020-08-19 |
| 1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
| 1285251397 | Elmer Eugene Johnson | Counselor | 184 Cityview Ave, Homer, AK 99603-7017 | 2020-07-06 |
| 1710504774 | Magen Marie Spencer | Counselor | 410 River Front Street, Nenana, AK 99760-0159 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.