Katie Brady

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007190 Issued in NC

Practice address

712 Sleepy Creek Dr
Durham, NC 27713-9132

Phone

(919) 360-0408

NPI assigned

Jun 15, 2011

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)

Enrolled

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1932494150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 SLEEPY CREEK DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139132",
            "telephone_number": "919-360-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 SLEEPY CREEK DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139132",
            "telephone_number": "919-360-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "KATIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Rene Bradley, MD
• Andrea Bradshaw, LCSWA
• Geraldine Bradshaw
• Karen Elizabeth Bradshaw, NP
• Carla Brady, M.D.
• Leesha Ann Brady, LPC
• Madeline Brady
• Nicole Jensen Brady, NNP-BC, RN-C
• Melanie L Braganza, M.D.
• Mark Stephen Brahier

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.