Jeanne Ann Braddick I, RD

Primary specialty

Oncology Nutrition Registered DietitianTaxonomy code 133VN1301X

License

L006843 Issued in NC

Practice address

20 Duke Medicine Cir RM 5N61
Durham, NC 27710-2000

Phone

(919) 613-9382

NPI assigned

May 11, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Duke University Health System, Inc.

  • Certified Registered Nurse Anesthetist
  • Durham, NC
  • NPI 1558392977
  Medicare reassignment NPD

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1669162756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 STONERIDGE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055578",
            "telephone_number": "201-315-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DUKE MEDICINE CIR RM 5N61",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277102000",
            "telephone_number": "919-613-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADDICK",
        "first_name": "JEANNE",
        "middle_name": "ANN",
        "name_suffix": "I",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "NC",
            "license": "L006843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P. Boyte, M.D.
• Catherine Harvey Brabender, MS, RD, LDN
• Toya Monet Brabham, RN
• Adriana Roxana Bracho
• Sonali Jagdish Bracken, M.D.,PH.D.
• Katherine R Brader, LMFT, LCMHC
• Daniel William Bradford, MD, MPH
• Emma Elise Bradford, DPT
• Eric Bradford, MD
• Steve Michael Bradley-Bull, LPC

• Registered Dietitian in Durham, NC
• Providers in Durham, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.