Individual provider Active NPI

Braydon Ray Kammerer

  • Counselor
  • Tacoma, WA
National Provider Identifier
1437874740
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
WDL2TRPJ133B Issued in WA
Practice address
5401 S 12TH St Apt 1102
Tacoma, WA 98465-2611
Phone
(253) 548-4802
NPI assigned
Oct 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X WDL2TRPJ133B WA Primary

Addresses

Primary practice location

5401 S 12TH St Apt 1102
Tacoma, WA 98465-2611

Mailing address

5401 S 12TH St Apt 1102
Tacoma, WA 98465-2611
Phone (253) 548-4802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
WDL2TRPJ133BWAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1437874740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 S 12TH ST APT 1102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984652611",
            "telephone_number": "253-548-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S 12TH ST APT 1102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984652611",
            "telephone_number": "253-548-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMERER",
        "first_name": "BRAYDON",
        "middle_name": "RAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "WDL2TRPJ133B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.