Katie Lauren Braden, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-150770 Issued in AL

Practice address

27 Midway PLZ Ste B
Dora, AL 35062-9340

Phone

(205) 255-7052

NPI assigned

Sep 23, 2019

Last updated

Nov 8, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carbon Hill Family Care LLCGroup PAC ID 1951752708, 7 clinicians

Smith Lake Family Care LLCGroup PAC ID 7911319777, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Carbon Hill Family Care LLC

  • Family Medicine Physician
  • Carbon Hill, AL
  • NPI 1255113551
  Medicare reassignment Care Compare group NPD
• Smith Lake Family Care LLC

  • Family Nurse Practitioner
  • Jasper, AL
  • NPI 1306447776
  Medicare reassignment Care Compare group NPD
• Cordova Family Care LLC

  • Family Medicine Physician
  • Cordova, AL
  • NPI 1780567610
  Medicare reassignment NPD
• Smith Lake Urgent Care, LLC

  dba Smith Lake Family Medicine

  • Internal Medicine Physician
  • Jasper, AL
  • NPI 1447499090
  NPD (past)

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1407407224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 HIGHWAY 78",
            "city": "DORA",
            "state": "AL",
            "postal_code": "350625233",
            "telephone_number": "205-255-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MIDWAY PLZ STE B",
            "city": "DORA",
            "state": "AL",
            "postal_code": "350629340",
            "telephone_number": "205-255-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "KATIE",
        "middle_name": "LAUREN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-150770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bagley Volunteer Fire & Rescue Inc
• Bloom Therapy
• Jolene Laverne Box, RDH OMT
• Victoria Chante Brasher, FNP-C
• Bruno's Supermarkets, LLC. (Food World Pharmacy #122)
• Central Alabama Urgent Care Inc
• Laura Coffee
• Alicia Collier, CRNP

• Family Nurse Practitioner in Dora, AL
• Providers in Dora, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.