Active NPI
Judith Brady, NURSE PRACTITIONER
- Adult Health Nurse Practitioner
- Lawrenceville, GA
National Provider Identifier
1457979510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F308744-1
- Practice address
- 1430 Watercove LN
Lawrenceville, GA 30043-6223 - Phone
- (917) 701-2722
- NPI assigned
- Jul 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN293436 | GA | |
| Adult Health Nurse Practitioner | 363LA2200X | F308744-1 | NY | Primary |
Addresses
Primary practice location
1430 Watercove LN
Lawrenceville, GA 30043-6223
Mailing address
1430 Watercove LN
Lawrenceville, GA 30043-6223
Phone (917) 701-2722
Other practice location 1
3240 Paulding Ave
Bronx, NY 10469-3843
Phone (917) 701-2722
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
| License | State | Type | Specialty |
|---|---|---|---|
| F308744-1 | NY | MD | Adult Health Nurse Practitioner |
| RN293436 | GA | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1457979510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 WATERCOVE LN",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300436223",
"telephone_number": "917-701-2722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 WATERCOVE LN",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300436223",
"telephone_number": "917-701-2722"
}
],
"practiceLocations": [
{
"address_1": "3240 Paulding Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104693843",
"country_code": "US",
"telephone_number": "917-701-2722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADY",
"first_name": "JUDITH",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-06",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "GA",
"license": "RN293436",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F308744-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.