Active NPI
Natalie D Braden, MSN FNP-BC
- Family Nurse Practitioner
- Parkville, MO
National Provider Identifier
1699062455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2012007364
- Practice address
- 6365 Lewis Dr
Parkville, MO 64152-3699 - Phone
- (816) 746-4755
- NPI assigned
- Jun 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.008887041.268525 | IL | |
| Family Nurse Practitioner | 363LF0000X | 2012007364 | MO | Primary |
Addresses
Primary practice location
6365 Lewis Dr
Parkville, MO 64152-3699
Mailing address
PO Box 257
Kearney, MO 64060-0257
Phone (816) 500-5052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.008887041.268525 | IL | MD | Family Nurse Practitioner |
| 2012007364 | MO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360281600000",
"number": "1699062455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 257",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640600257",
"telephone_number": "816-500-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6365 LEWIS DR",
"city": "PARKVILLE",
"state": "MO",
"postal_code": "641523699",
"telephone_number": "816-746-4755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADEN",
"first_name": "NATALIE",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "MSN FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-30",
"last_updated": "2013-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.008887041.268525",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2012007364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parkville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.