Kristin Bracey

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P42313 Issued in SC

Practice address

2251 Eastern Blvd
York, PA 17402-2917

Phone

(717) 840-2730

NPI assigned

Apr 3, 2019

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

Electronic endpoints 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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1851853428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 EASTERN BLVD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022917",
            "telephone_number": "717-840-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 EASTERN BLVD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022917",
            "telephone_number": "717-840-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACEY",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "P42313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE",
            "identifier": "P42313",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin.bracey@va.gov",
            "affiliation": "N",
            "address_1": "2251 Eastern Blvd",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174022917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gregory Arthur Boyer, DO
• Sandy Boyer, LMT
• Stephanie Elizabeth Boyer, CRNP
• James Michael Boyle III, DDS
• Andrey Bozhko, CRNP
• Marissa Ann Brackbill, OTR/L
• Kylie M Bradley-Moreschi
• Craig A Bradley, DO
• Dakota C Bradley
• Rachel Georgeann Bradley, LCSW

• Licensed Practical Nurse in York, PA
• Providers in York, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.