Individual provider Active NPI

Emma E Brady, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bedford, NH
National Provider Identifier
1316798937
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
079954-23 Issued in NH
Practice address
109 Riverway PL BLDG 1
Bedford, NH 03110-6730
Phone
(603) 262-1424
NPI assigned
Apr 1, 2024
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 079954-23 NH Primary

Addresses

Primary practice location

109 Riverway PL BLDG 1
Bedford, NH 03110-6730

Mailing address

109 Riverway PL BLDG 1
Bedford, NH 03110-6730
Phone (603) 262-1424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20240823001003 NH Practitioner - Nurse Practitioner 2769921600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phenix Psychiatric LLCGroup PAC ID 9032585757, 3 clinicians

Practice addresses (Care Compare)

109 Riverway PL
Bedford, NH 03110-6730
Phone (978) 226-8690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phenix Psychiatric LLC Psychiatric/Mental Health CurrentSince Aug 1, 2024 Accepting new patients

Locations

109 Riverway Pl
Bedford, NH 03110
Phone (603) 262-1424

109 Riverway Pl
Bldg 1
Bedford, NH 03110
Phone (603) 262-1424

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1316798937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 RIVERWAY PL BLDG 1",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106730",
            "telephone_number": "603-262-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 RIVERWAY PL BLDG 1",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106730",
            "telephone_number": "603-262-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "EMMA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "079954-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.