Beth Braddock, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

LE-00035424 Issued in OH

Practice address

15116 Gibson Rd
Ashville, OH 43103-9663

Phone

(740) 804-2756

NPI assigned

Jan 29, 2021

Last updated

Jan 29, 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

• Beth Braddock Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imed Urgent Care LLCGroup PAC ID 9032516778, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Imed Urgent Care LLC

  dba I Med Urgent care

  • Urgent Care Clinic/Center
  • Grove City, OH
  • NPI 1831862085
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1114518438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15116 GIBSON RD",
            "city": "ASHVILLE",
            "state": "OH",
            "postal_code": "431039663",
            "telephone_number": "740-804-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15116 GIBSON RD",
            "city": "ASHVILLE",
            "state": "OH",
            "postal_code": "431039663",
            "telephone_number": "740-804-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADDOCK",
        "first_name": "BETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "LE-00035424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ashville",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Ashville",
            "address_1": "15116 Gibson Rd",
            "city": "Ashville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431039663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "BRADDOCK",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joseph L Bennett
• Kristy Renee Blum, M.D.
• Baylee Book, DC
• Brenda Bowling
• Jessica Ann Boyd
• Amanda Browning
• Hannah Lynn Browning
• Jack Burkes, LSP
• Joseph Grimes Caldwell, M.D.
• Christina Linn Chapman

• Family Nurse Practitioner in Ashville, OH
• Providers in Ashville, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.