Tyteana Braddy

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

602736881123 Issued in OH

Practice address

628 W Grand Ave
Springfield, OH 45506-2022

Phone

(937) 591-0792

NPI assigned

Jan 8, 2026

Last updated

Jan 8, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1518824846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 W GRAND AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455062022",
            "telephone_number": "937-591-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 W GRAND AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455062022",
            "telephone_number": "937-591-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADDY",
        "first_name": "TYTEANA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": "602736881123",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "602736881123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Bowles
• Lisa Bowlin, CDCA
• Tesa Boysel, LMT
• Amy S Bracken, MS, ED, LPC
• Tisa Braddy
• Marcella Bradshaw
• Brake the Cycle LLC
• Tiffany Brandon
• Arlene Sue Brannon, INDEPENDENT HOME HEA
• Marla Elaine Brashears

• Nurse's Aide in Springfield, OH
• Providers in Springfield, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.