MS. KATHLEEN M BRADY


Address: 19 Old Kings Rd, Suite C 106, Palm Coast, FL 32137-8260
Phone: 3864464540

MS. KATHLEEN M BRADY (NPI# 1568791630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568791630
Entity Type Individual
Full Name MS. KATHLEEN M BRADY
Credential ARNP
Practice Address 19 Old Kings Rd
Suite C 106
Palm Coast
FL 32137-8260
Practice Telephone 3864464540
Practice Fax Number 3864477732
Mailing Telephone 3864464540
Mailing Fax Number 3864477732
Enumeration Date 2009-12-18
Last Update Date 2009-12-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
ARNP9215677 FL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 19 OLD KINGS RD
SUITE C 106
City PALM COAST
State FL
Zip Code 32137-8260

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922617505 Palm Coast Alf Management LLC Assisted Living Facility 3830 Old Kings Road, Palm Coast, FL 32137 2020-07-29
1093324964 Akilah Collins Behavior Technician 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 2020-07-27
1750929477 Jeanette Ann Stevens Technician 1 Lema Place, Palm Coast, FL 32137 2019-12-12
1649816919 Patrick Meyer Occupational Therapy Assistant 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 2019-11-21
1689230385 Coastal Care Medical Transport Non-emergency Medical Transport (VAN) #2b, 1 Hargrove Grde, Palm Coast, FL 32137 2019-05-17
1407357437 Palm Coast Counseling, LLC Counselor 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 2018-02-25
1679081459 Lance J Langston Behavior Technician 2 Crosstie Ct, Palm Coast, FL 32137 2018-01-16
1407360712 Hanna Mercedes Brown Behavior Technician 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 2017-11-22
1760994511 Sophia's Choice Hands That Help, LLC Custodial Care Facility 119 Bud Hollow Dr, Palm Coast, FL 32137 2017-11-02
1922543255 Megan Katherine Dickerson Physical Therapist 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 2016-12-22
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144793696 Sharon Lynn Leventhal Nurse Practitioner 21 Hospital Dr Ste 280, Palm Coast, FL 32164-2456 2019-01-08
1609316595 Michelle Libretti Nurse Practitioner 21 Hospital Dr Ste 270, Palm Coast, FL 32164-2454 2017-02-27
1184988321 Ariana Gross Nurse Practitioner 3 Lewiston Pl, Palm Coast, FL 32137-9722 2012-07-03
1457676207 Carly Melissa Holmes Nurse Practitioner 61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164-5999 2010-04-05
1396715561 Leslee A. D'amato-kubiet Nurse Practitioner 150 Memorial Medical Pkwy, Palm Coast, FL 32164-5997 2006-01-23
1619290673 Lisa Marie Neuenfeldt Nurse Practitioner 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 2010-03-04

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1679170674 Lorena Beatriz Canelon Nurse Practitioner 16151 Sw 147th Ln, Miami, FL 33196-6416 2020-10-04
1851998082 Sanon Edmond Nurse Practitioner 5236 Arbor Glen Cir, Lake Worth, FL 33463-8066 2020-10-01
1710594114 Sumelia Waddell Nurse Practitioner 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 2020-09-29
1780291526 Ilmary De Los Angeles Jimenez Nurse Practitioner 7909 Biltmore Blvd, Miramar, FL 33023-5829 2020-09-25
1972119535 Dennis Carmelo Cadiz Serfino Nurse Practitioner 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 2020-09-18
1760097745 Amanee Orra Nurse Practitioner 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 2020-09-15
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Competitor

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City PALM COAST
Zip Code 32137

Improve Information

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Dataset Information

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.

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