Active NPI
Tierra Bradden
- Addiction (Substance Use Disorder) Counselor
- Oklahoma City, OK
National Provider Identifier
1003249830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1578690137
- Practice address
- 3621 N Kelley Ave Ste 100
Oklahoma City, OK 73111-4520 - Phone
- (405) 525-4425
- NPI assigned
- Aug 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1578690137 | Primary |
Addresses
Primary practice location
3621 N Kelley Ave Ste 100
Oklahoma City, OK 73111-4520
Mailing address
5417 S Huddleston Dr
Oklahoma City, OK 73135-2321
Phone (405) 838-6386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1003249830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5417 S HUDDLESTON DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731352321",
"telephone_number": "405-838-6386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3621 N KELLEY AVE STE 100",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731114520",
"telephone_number": "405-525-4425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADDEN",
"first_name": "TIERRA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-15",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": "1578690137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.