Kathleen Elizabeth Brady, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F340841-1 Issued in NY

Practice address

105 County Route 45a Ste 400
Oswego, NY 13126-6673

Phone

(315) 312-0089

Fax

(315) 312-0110

NPI assigned

Jul 11, 2017

Sex

Female

Sole proprietor

No

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1386166379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD STE 2G",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884841",
            "telephone_number": "315-312-0089",
            "fax_number": "315-312-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COUNTY ROUTE 45A STE 400",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266673",
            "telephone_number": "315-312-0089",
            "fax_number": "315-312-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340841-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sian Boycheck, P.T.A.
• Carissa Boyer
• Raegan Boyle
• Walter Joseph Bozek, D.D.S.
• Haley Bradley
• Jonathan Braiman, M.D.
• Shanley Branch, MT
• James Branshaw, R.PH.
• Robert Branshaw, R.PH.
• Edgar R Brantley Jr., MSPT

• Family Nurse Practitioner in Oswego, NY
• Providers in Oswego, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.