Kathleen Ann Brady-Grieve, MSED

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

2204 Avalon Pines Dr
Coram, NY 11727-5147

Phone

(631) 681-0994

NPI assigned

Feb 13, 2007

Last updated

Jul 26, 2007By the provider in NPPES

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

Other names 1

• Mrs. Kathleen Ann Brady Professional name

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1669514022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 AVALON PINES DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117275147",
            "telephone_number": "631-681-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 AVALON PINES DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117275147",
            "telephone_number": "631-681-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY-GRIEVE",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BRADY",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "MSED",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Richard Joseph Boergers Jr., ATC
• Neva T Bolding, RN
• Melissa Borrelli
• Paul Botticelli, L.C.S.W.
• Bridget L Bowen, L.P.N
• Brian Cho Optometry PLLC (Coram Perspective Eye Care)
• Ashley Nicole Brodzansky, LMSW
• Michele Brons
• La-Villa Brooks
• Clara Marie Brown, R.N.

• Contractor in Coram, NY
• Providers in Coram, NY by specialty
• Contractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.