McKayla Bradley

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SC60995574 Issued in WA

Practice address

4509 Talbot Rd S Ste a&B
Renton, WA 98055-6294

Phone

(480) 234-0871

NPI assigned

Jun 21, 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

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1801465257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8558 19TH AVE NW # B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 TALBOT RD S STE A&B",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556294",
            "telephone_number": "480-234-0871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8558 19th Ave NW # B",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981173518",
            "country_code": "US",
            "telephone_number": "480-234-0871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MCKAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC60995574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark L Bowers, P.A.
• Aletha G Bowman, OT
• Sarah L Boyd, OT
• Jeffrey Boyle, PT
• Lavender Brackney
• Jocelyn Lee Bramlett
• Patricia Nancy Brand, MD
• Erica Margaret Brandling-Bennett, PHD
• Kiranjot Brar, PHARM.D.
• Prabhnoor Kaur Brar, RN

• Social Worker in Renton, WA
• Providers in Renton, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.