Active NPI
Mary C Brady, CNP
- Gerontology Nurse Practitioner
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 08812
- Legal business name
- MARY C BRADY, CNP
- Practice address
- 430 Deanview Dr
Cincinnati, OH 45224-1415 - Phone
- (513) 310-3007
- NPI assigned
- Nov 2, 2009
- Last updated
- Dec 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Catherine Brady, CNP
- Title
- Owner
- Phone
- (513) 310-3007
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 08812 | OH | Primary |
Addresses
Primary practice location
430 Deanview Dr
Cincinnati, OH 45224-1415
Mailing address
430 Deanview Dr
Cincinnati, OH 45224-1415
Phone (513) 310-3007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2975384 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Diane Borchelt NP
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nurse Practitioner
- Amelia, OH
- NPI 1205167095
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Cincinnati, OH
- NPI 1346377835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260316800000",
"number": "1316273907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 DEANVIEW DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452241415",
"telephone_number": "513-310-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 DEANVIEW DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452241415",
"telephone_number": "513-310-3007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY C BRADY, CNP",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-02",
"last_updated": "2009-12-09",
"status": "A",
"authorized_official_last_name": "BRADY",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "CATHERINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "513-310-3007",
"authorized_official_credential": "CNP"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "08812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2975384",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.