Katherine Brady, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12356 Issued in NC

Practice address

1011 Porters Neck Rd
Wilmington, NC 28411-9196

Phone

(910) 686-7195

NPI assigned

Nov 10, 2016

Last updated

Apr 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1386186146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 AVINGTON LN NE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284519539",
            "telephone_number": "814-691-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PORTERS NECK RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119196",
            "telephone_number": "910-686-7195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284704471",
            "country_code": "US",
            "telephone_number": "910-754-8858",
            "fax_number": "910-755-5059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY",
        "first_name": "KATHERINE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1703223",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany T Bradshaw, PNP
• Erica Bradshaw, PTA
• Kimberly Aman Bradshaw
• Brady J. Semmel, DMD, MD, PA (Semmel Oral & Facial Surgery)
• Jennifer Brady
• Kevin Brady, DPM
• Alan Robert Brailsford de Lopez, LCSW LCAS CSI
• Adam C. Braithwaite, MD
• John Paul Bramblett Jr., PHD
• Chloe Bramer-Payne

• Speech-Language Pathologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.