Maureen Brady, NP

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0024066176 Issued in VA

Practice address

3650 Joseph Siewick Dr Ste 203
Fairfax, VA 22033-1712

Phone

(703) 391-1500

Fax

(703) 860-1549

NPI assigned

Mar 11, 2010

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1417270935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 IRON BAR LN STE 219",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553614",
            "telephone_number": "703-753-0963",
            "fax_number": "703-753-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 JOSEPH SIEWICK DR STE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331712",
            "telephone_number": "703-391-1500",
            "fax_number": "703-860-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "MAUREEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001066176",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0024066176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Bozek, RBT
• Tanisha S Bracey
• Sara Bracken, PSY.D.
• Kevin Bradley, LCSW
• Kory Bradley, LSW
• Meredith Braithwaite
• Nigel Brake
• Pamela Brandt, DO
• Esmie G Branner, MSW., PHD.
• Antoine Rashad Brantley

• Licensed Practical Nurse in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.