Tamika Nicole Braddy

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN095920 Issued in GA

Practice address

1000 Clyburn PL
Aiken, SC 29801-4193

Phone

(803) 380-7000

Fax

(803) 642-6186

NPI assigned

Sep 8, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: tamika.braddy.1@13265.direct.athenahealth.com

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1376320960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CLYBURN PL",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CLYBURN PL",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014193",
            "telephone_number": "803-380-7000",
            "fax_number": "803-642-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADDY",
        "first_name": "TAMIKA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN095920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jada Elise Bowers-Thompson, MCBS
• Christine Bowie
• Clifton Clark Boyd, O.D.
• Michael M Boyd, MD
• Kylah Brabson
• Robert W Bradford, LISW-CP
• Bradley Chiropractic Services LLC
• Blair Stephen Bradley, D.C.
• John Benjamin Bradley, PH.D.
• Jennifer Bradshaw, LMFT

• Licensed Practical Nurse in Aiken, SC
• Providers in Aiken, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.