Edward Braga-Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP61341289 Issued in WA

Practice address

6700 Martin Way E Ste 117
Olympia, WA 98516-5586

Phone

(360) 413-6910

NPI assigned

Jul 17, 2023

Sex

Male

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1053090993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 MARTIN WAY E STE 117",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165586",
            "telephone_number": "360-413-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 MARTIN WAY E STE 117",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165586",
            "telephone_number": "360-413-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGA-SMITH",
        "first_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP61341289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradford Health Consulting PLLC
• Mark W Bradford, MD
• Kristin Bradshaw, PHYSICAL THERAPIST
• Kellee K Brady, PA-C
• Mary-Margaret Brady, LMP
• Terrell Brian Bragdon, MA, LMHC, MHP, CMHS
• Janell Louise Bragg, LMP
• Jereme Leonard Brammeier, M.D.
• Ivan Goff Bramwell
• Sophia Noelle Brand, LMP

• Licensed Practical Nurse in Olympia, WA
• Providers in Olympia, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.