Kristine Brady, RN
Individual provider Active NPI Registered Nurse · Mason, MI
NPI 1053377622 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1053377622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704231092 (MI)
- Practice address
- 566 N Cedar
Mason, MI 48854 - Phone
- (517) 676-2461
- Fax
- (517) 346-8291
- NPI assigned
- Apr 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704231092 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Mental Health Authority of Clinton Eaton Ingham Counties | Past | Accepting new patients |
Interoperability endpoints
- lifestancehealth.kristinebrady@150339.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704231092 | MI | Yes |
Addresses
Primary practice location
566 N Cedar
Mason, MI 48854
Mailing address
812 E Jolly Rd
Ste 210
Lansing, MI 48910-6818
Phone (517) 346-8410
Other providers in Mason, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.