Katherine Mercedes Bradbury, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN265306 Issued in CA

Practice address

301 Victoria St
Costa Mesa, CA 92627-1995

Phone

(949) 642-2734

NPI assigned

May 3, 2021

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 identifiers 1

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": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1679156145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 VICTORIA ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277131",
            "telephone_number": "760-914-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 VICTORIA ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271995",
            "telephone_number": "949-642-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADBURY",
        "first_name": "KATHERINE",
        "middle_name": "MERCEDES",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN265306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSU LLC",
            "identifier": "17609862419",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry J Boyd II, D.C.
• Caroline Boyd, P.T.
• Kari Boyer
• Michael Boyer, LMFT
• Gabriella Helena Bracamonte
• Celeste Braeutigam
• Bonnie Braff-Bayramkul
• Kelcie Pinick Bragg, DNP, CPNP-AC
• Brainhealth Solutions, Inc.
• Johanna Brambila

• Licensed Vocational Nurse in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.