Individual provider Active NPI

Cindy L. Brady, BHPP

  • Contractor
  • Tucson, AZ
National Provider Identifier
1093067076
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
4177839 Issued in AZ
Practice address
500 E Nashville 994 South Harrison Rd
Tucson, AZ 86748
Phone
(520) 780-4188
NPI assigned
Oct 15, 2012
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
4177839AZMDContractor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 4177839 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

500 E Nashville 994 South Harrison Rd
Tucson, AZ 86748

Mailing address

1610 N Sulphur Springs Rd Unit 2
Douglas, AZ 85607
Phone (520) 780-4188

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
4177839OtherAZTHERAPEUTIC FOSTER CARE LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 18, 2021.

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1093067076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 N SULPHUR SPRINGS RD UNIT 2",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "85607",
            "telephone_number": "520-780-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E NASHVILLE 994 SOUTH HARRISON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "86748",
            "telephone_number": "520-780-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "CINDY",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "BHPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AZ",
            "license": "4177839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPEUTIC FOSTER CARE LICENSE",
            "identifier": "4177839",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.