Amanda Bready

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-233043 Issued in VA

Practice address

23420 Summerstown PL
Dulles, VA 20166-2178

Phone

(703) 606-3806

NPI assigned

Dec 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Bba Home Health Care LLC

  • Home Health Agency
  • Dulles, VA
  • NPI 1265898571
  NPD Authorized official

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1396384152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23420 SUMMERSTOWN PL",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662178",
            "telephone_number": "703-606-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23420 SUMMERSTOWN PL",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662178",
            "telephone_number": "703-606-3806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N Lee St # 101",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220463267",
            "country_code": "US",
            "telephone_number": "703-606-3806 x70360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREADY",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019017046",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-233043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017487950001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariam Lamey Boktor
• Deborah Bowers, MD
• Margaret Jeanne Brandquist, CNM
• Donna Ann Brane, O.D.
• Herbert Fernando Bravo, MD
• Haena Bryant, NP
• Amanda Rose Carmen, CNM
• Asad Chaudhry
• Cathalene Blake Christian, PA-C
• Judith Okezie Chukueke

• Home Health Agency in Dulles, VA
• Providers in Dulles, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.