Kelcy Semone Braggs

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

3223 Spring Hill Ave
Mobile, AL 36607-1809

Phone

(251) 348-1697

NPI assigned

May 10, 2021

Last updated

May 10, 2021By the provider in NPPES

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

Other names 1

• Divine Angels Senior Care Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1093399651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366071809",
            "telephone_number": "251-348-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366071809",
            "telephone_number": "251-348-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGGS",
        "first_name": "KELCY",
        "middle_name": "SEMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mcafee",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3223 Spring Hill Ave",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366071809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DIVINE",
            "last_name": "SENIOR CARE",
            "middle_name": "ANGELS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• William Bradley, O.D.
• Kelly Bradshaw
• Morgan Bradwell, LICSW
• Chad Kammer Brady, D.O.
• Nancy Alice Brady, PT
• Sharon Brammer, CRNP
• Amber Branch
• Louis Russell Brandau III, DMD
• Benjamin J Brandt, PHARM D
• Craig Martin Brannan, P.T.

• Home Health Aide in Mobile, AL
• Providers in Mobile, AL by specialty
• Home Health Aide in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.