Christina Brake, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

5210185 Issued in FL

Practice address

908 Point Way
Lakeland, FL 33813-2822

Phone

(863) 430-9172

NPI assigned

Jan 31, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1033740626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 COUNTRY LOOP W",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338111319",
            "telephone_number": "863-430-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 POINT WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132822",
            "telephone_number": "863-430-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKE",
        "first_name": "CHRISTINA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5210185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Lea Bradshaw
• Mary E Brady, LPN
• Darrell Braham, DO
• Brain Matters Health Care
• Brainchem Center LLC
• Johanna Lea Branch, PTA
• Sonya Branch
• Joyce Ann Brandon, RN
• Rhett Kennedy Brandt, PH.D., LMHC, CAP
• Michael Terrence Brannan, M.A.

• Licensed Practical Nurse in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.