Active NPI
Markeeta M Brady, RN, BSN
- Medical-Surgical Registered Nurse
- Brunswick, GA
National Provider Identifier
1205028974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- RN115500
- Practice address
- 144 Dawn Cir
Brunswick, GA 31523-6405 - Phone
- (912) 554-8275
- NPI assigned
- Aug 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | RN115500 | GA | |
| Home Health Registered Nurse | 163WH0200X | RN115500 | GA | |
| Medical-Surgical Registered Nurse | 163WM0705X | RN115500 | GA | Primary |
| Orthopedic Registered Nurse | 163WX0800X | RN115500 | GA |
Addresses
Primary practice location
144 Dawn Cir
Brunswick, GA 31523-6405
Mailing address
PO Box 3087
Brunswick, GA 31521-3087
Phone (912) 554-8275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN115500 | GA | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187136000000",
"number": "1205028974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3087",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315213087",
"telephone_number": "912-554-8275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 DAWN CIR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315236405",
"telephone_number": "912-554-8275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "MARKEETA",
"middle_name": "M",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2007-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "GA",
"license": "RN115500",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "GA",
"license": "RN115500",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "GA",
"license": "RN115500",
"primary": true
},
{
"code": "163WX0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Orthopedic",
"state": "GA",
"license": "RN115500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.