Angelica Lynn Braden

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

694 Church St NE
Salem, OR 97301-2401

Phone

(503) 588-5827

NPI assigned

May 31, 2024

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

• Angelica Lynn Warner Former 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.

• Northwest Human Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Salem, OR
  • NPI 1497014914
  NPD (past)
• Northwest Human Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Salem, OR
  • NPI 1790865798
  NPD (past)

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1962242354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 CHURCH ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012401",
            "telephone_number": "503-588-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 CHURCH ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012401",
            "telephone_number": "503-588-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "ANGELICA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELICA",
            "last_name": "WARNER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nathaniel Brabham
• Christina Bradbury
• Teresa Ann Bradbury
• Braden Partners LP
• Braden Partners LP
• Amy Anne Bradford
• Ty David Bradford, PA-C
• Gabriela Raquel Bradley, FNP
• Heather Bradshaw, LMFT, LPC
• John K Bradshaw, M.D.

• Community Health Worker in Salem, OR
• Providers in Salem, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.