Individual provider Active NPI

Alexandra Therese Emiko Braun, LPO, CPO

  • Orthotist
  • Seattle, WA
National Provider Identifier
1801492004
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
OI61147080 Issued in WA
Practice address
1600 E Jefferson St Ste 402
Seattle, WA 98122-5643
Phone
(206) 241-2786
Fax
(206) 241-3349
NPI assigned
Dec 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X PS61081423 WA
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X OI61147080 WA Primary

Addresses

Primary practice location

1600 E Jefferson St Ste 402
Seattle, WA 98122-5643

Mailing address

1600 E Jefferson St Ste 402
Seattle, WA 98122-5643
Phone (206) 241-2786

Other practice location 1

305 S. 38th Ct.
Suite 110
Renton, WA 98055
Phone (425) 226-5922

Other names 1

  • Tess Emiko Braun Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OI61147080WAMDOrthotist
PS61081423WAMDProsthetist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1801492004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E JEFFERSON ST STE 402",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225643",
            "telephone_number": "206-241-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E JEFFERSON ST STE 402",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225643",
            "telephone_number": "206-241-2786",
            "fax_number": "206-241-3349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 S. 38th Ct.",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "98055",
            "country_code": "US",
            "telephone_number": "425-226-5922",
            "fax_number": "425-226-5927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "ALEXANDRA",
        "middle_name": "THERESE EMIKO",
        "name_prefix": "Ms.",
        "credential": "LPO, CPO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "PS61081423",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "WA",
            "license": "OI61147080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESS",
            "last_name": "BRAUN",
            "middle_name": "EMIKO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.