Christa Braddock

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

1501 39TH Ave SW
Puyallup, WA 98373-3801

Phone

(253) 841-8700

NPI assigned

Feb 15, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1598463929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 39TH AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 39TH AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733801",
            "telephone_number": "253-841-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADDOCK",
        "first_name": "CHRISTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn Felia Boyington, L.M.P.
• Christine M Bozich, M.D.
• Steven Chas Brack, DO
• Diana Carol Brackett
• Kaley Brackey
• Sam Brady
• Steven Michael Brady, D.O.
• Jill Ann Brandaberry, COTA/L
• Kyla Nikole Brant
• Sarah Margaret Brant, MD

• Speech-Language Assistant in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Speech-Language Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.