Renea Bray, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

20102458 Issued in LA

Practice address

200 Broadway St Ste 230
New Orleans, LA 70118-3544

Phone

(504) 988-9000

Fax

(504) 988-9099

NPI assigned

Sep 23, 2018

Last updated

Sep 23, 2018By 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

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": "1537660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537660800000",
    "number": "1730663980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 S CARROLLTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701182950",
            "telephone_number": "504-635-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BROADWAY ST STE 230",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701183544",
            "telephone_number": "504-988-9000",
            "fax_number": "504-988-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "RENEA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-23",
        "last_updated": "2018-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "20102458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Bravata Bauer, NP
• Brave Heart Healing Center LLC
• Michele Dauterive Bravo, M.S. CCC-SLP
• Jacob Paul Bray, MD
• Mercedes Bray
• Frederick Wicks Brazda, M.D.
• Geoffrey Brazda, M.A., LPC, NCC
• Chet Brazile Jr.
• Christina Brazley
• Terry Marie Brazley

• Licensed Practical Nurse in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Licensed Practical Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2018; 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.