Theresa Claire Brady Novak, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

760033262 Issued in DC

Practice address

Catholic University Student
620 Michigan Ave
Washington, DC 20064-0001

Phone

(202) 319-5744

Fax

(202) 319-4793

NPI assigned

May 16, 2008

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

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Providence Health Services Inc

  • Family Medicine Physician
  • Washington, DC
  • NPI 1669453809

  DC

  Medicare reassignment NPD
• Providence Health Services, Inc

  • Physiological Laboratory
  • Washington, DC
  • NPI 1598313595
  NPD

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1194982249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CATHOLIC UNIVERSITY STUDENT",
            "address_2": "620 MICHIGAN AVE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200640001",
            "telephone_number": "202-319-5744",
            "fax_number": "202-319-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CATHOLIC UNIVERSITY STUDENT",
            "address_2": "620 MICHIGAN AVE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200640001",
            "telephone_number": "202-319-5744",
            "fax_number": "202-319-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY NOVAK",
        "first_name": "THERESA",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "760033262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Bradshaw
• Myles Bradshaw
• Serena Bradshaw
• Sharai Bradshaw, LMFT
• Sharday Bradshaw
• Christiane Brady, LICSW, LCSW-C
• Delia Brady
• Eunice Brady, MSW, LICSW
• Haley Jo Brady
• Jill Elizabeth Brady

• All providers in Washington, DC
• Family Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.