Active NPI
Yvonne Renee Braden, L.P.N.
- Licensed Practical Nurse
- Caldwell, OH
National Provider Identifier
1265618284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN. 087690
- Practice address
- 3 Lakeview Dr
Caldwell, OH 43724-9716 - Phone
- (740) 732-7409
- NPI assigned
- Jan 22, 2008
- Last updated
- Jan 22, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN. 087690 | OH | Primary |
Addresses
Primary practice location
3 Lakeview Dr
Caldwell, OH 43724-9716
Mailing address
3 Lakeview Dr
Caldwell, OH 43724-9716
Phone (740) 732-7409
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2089850 | Other | OH | PROVIDER NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN. 087690 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1265618284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 LAKEVIEW DR",
"city": "CALDWELL",
"state": "OH",
"postal_code": "437249716",
"telephone_number": "740-732-7409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 LAKEVIEW DR",
"city": "CALDWELL",
"state": "OH",
"postal_code": "437249716",
"telephone_number": "740-732-7409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADEN",
"first_name": "YVONNE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "L.P.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN. 087690",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "2089850",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Caldwell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.