Edana Brady, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

319766 Issued in NY

Practice address

99 Jefferson St
East Islip, NY 11730-1830

Phone

(631) 816-0719

NPI assigned

Sep 22, 2014

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1124420153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 JEFFERSON ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117301830",
            "telephone_number": "631-816-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 JEFFERSON ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117301830",
            "telephone_number": "631-816-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "EDANA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "319766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Blyskal, M.D.
• Julie Boerger, D.M.D.
• Linda O Bogarowski
• Victoria Bonomo, NP
• Laura Kristine Bowen, D.C.
• Catherine Brennan, CCC-SLP
• Jonneigh Briody
• Jessica Beth Brock, MS
• Nicole Irene Broderick, LMT
• Matthew Mi Bullis, LMSW

• Licensed Practical Nurse in East Islip, NY
• Providers in East Islip, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.