Kiaria Bradley

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

576 Belle Terre Blvd
La Place, LA 70068-1715

Phone

(985) 537-6776

NPI assigned

Dec 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kiaria Bradley Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cognitive Development Center of Baton Rouge

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1467745000
  NPD (past)
• Cognitive Development Center of Seaside Healthcare

  • Community/Behavioral Health Agency
  • Raceland, LA
  • NPI 1861925729
  NPD (past)

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1922463983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BELLE TERRE BLVD",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700681715",
            "telephone_number": "504-493-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 BELLE TERRE BLVD",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700681715",
            "telephone_number": "985-537-6776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 Darwen Dr",
            "address_purpose": "LOCATION",
            "city": "Raceland",
            "state": "LA",
            "postal_code": "703943668",
            "country_code": "US",
            "telephone_number": "985-324-9619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "KIARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIARIA",
            "last_name": "BRADLEY",
            "credential": "BACHELORS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sara Boudreaux
• Wanda Marie Boudreaux, M.A.
• Amanda Montegut Bourgeois, LPC
• Kyle Bourgeois, PHARMD
• Taraneisha Bowser
• Shelley D. Bray, MOT
• Jamal Breaux Sr.
• Brian N. Brogle, M.D, LLC
• Chantell Trosclair Brignac, MS, CCC-SLP
• Brian Neil Brogle, M.D.

• Case Manager/Care Coordinator in La Place, LA
• Providers in La Place, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.