STACY BRADY (NPI# 1740786227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740786227 |
| Entity Type | Individual |
| Full Name | STACY BRADY |
| Credential | CNS |
| Practice Address |
830 Chalkstone Ave Providence RI 02908-4734 |
| Mailing Address |
30 Saint James Pl Attleboro MA 02703-8170 |
| Practice Telephone | 4012737100 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | RN2271142 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
830 CHALKSTONE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174510853 | Frances Ann Bettencourt | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2005-09-29 |
| 1881295277 | Johnna Bussiere | Nurse's Aide | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-11-03 |
| 1770196578 | Caroline Sophie Holman | Psychologist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-31 |
| 1104437458 | Vivian Vang | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-11 |
| 1841800604 | Wilcania Baez | Social Worker | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-06 |
| 1609484757 | Stephen Soonbeom Kwon | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
| 1972111029 | Keenan Sandouk | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
| 1952919011 | Yumna Arif | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
| 1760009518 | Hassan Saada | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-06-28 |
| 1952927675 | Susannah Kondrath | Psychologist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164432472 | Sally Harrison | Clinical Nurse Specialist | 16 Stimson Ave, Providence, RI 02906-3207 | 2006-08-09 |
| 1073642336 | Mary Ellen Burke Sosa | Clinical Nurse Specialist | 101 Dudley St, Providence, RI 02905-2401 | 2007-03-05 |
| 1750391942 | Ann Back Price | Clinical Nurse Specialist | 101 Dudley St, Providence, RI 02905-2401 | 2006-08-09 |
| 1649288010 | Carrollyn E Grace | Clinical Nurse Specialist | 345 Blackstone Blvd, Providence, RI 02906 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609899608 | Carmen B Lysaght | Clinical Nurse Specialist | 1130 Ten Rod Road, Associates In Psychotherapy Suite E204, North Kingstown, RI 02852-4158 | 2006-07-25 |
| 1376890145 | Therese M Woodford | Clinical Nurse Specialist | 55 Cummings Way, Woonsocket, RI 02895-3247 | 2012-08-10 |
| 1003073073 | Cayer & Cayer LLP | Clinical Nurse Specialist | 107 Clock Tower Sq, Portsmouth, RI 02871-1396 | 2008-05-19 |
| 1700968518 | Brian A Hickey | Clinical Nurse Specialist | 300 Centerville Road, Suite 101 Summit West, Warwick, RI 02886 | 2006-10-20 |
| 1619059425 | Patricia M Reposa | Clinical Nurse Specialist | 300 Centerville Road, Summit West Suite 101, Warwick, RI 02886 | 2006-10-20 |
| 1851389951 | Linda E Eddleston | Clinical Nurse Specialist | 1130 Ten Rod Rd, Suite E204, North Kingstown, RI 02852-4161 | 2005-10-12 |
| City | PROVIDENCE |
| Zip Code | 02908 |
Please comment or provide details below to improve the information on STACY BRADY.
| 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.