Judy Ann Bracey, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

125761 Issued in TX

Practice address

602 W Semands St
Conroe, TX 77301-1867

Phone

(936) 756-5598

NPI assigned

Aug 8, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Advocate Pediatric Home Care LLC

  • Home Health Agency
  • Conroe, TX
  • NPI 1285937987
  NPD (past)

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1154800431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15832 WILLIAMSON RD",
            "city": "SPLENDORA",
            "state": "TX",
            "postal_code": "773724732",
            "telephone_number": "832-405-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W SEMANDS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011867",
            "telephone_number": "936-756-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACEY",
        "first_name": "JUDY",
        "middle_name": "ANN",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "125761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DRIVERS LICENSE",
            "identifier": "33166134",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Boyd, PMHNP-BC
• Lisa Boyd, M.D.
• McKenzie Rae Boyd
• George Steven Boyle, MD
• Thomas Daniel Brabham, PT, DPT
• Sara L Bradfield, LPC
• John Marshall Bragg, LPC
• Craig Brailsford, PA-C
• Syn'Toria Ja'Lecia Branch, MA, LPC, NCC
• Brand New You Counseling Center, LLC

• Licensed Practical Nurse in Conroe, TX
• Providers in Conroe, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.