Katherine Maitland Bracken-Taylor

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

11075 East Blvd
Cleveland, OH 44106-5409

Phone

(216) 368-2766

NPI assigned

Apr 18, 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

• Katherine Taylor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1962257543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2658 CANTERBURY RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441184335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11075 EAST BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441065409",
            "telephone_number": "216-368-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKEN-TAYLOR",
        "first_name": "KATHERINE",
        "middle_name": "MAITLAND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "TAYLOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsea Marie Bracey-Givner
• D'Andrea Bracey
• Katelynn Beyonce Bracey
• Tina Bracey
• Florencia Ornela Bracigliano, DDS
• Ryan Bracken
• Dorian Delvonnte Brackins
• Cheryl Maria Bradas, CNS
• Karron R Braden
• Courtney M Bradford, CARE COORD/MH

• Student in an Organized Health Care Education/Training Program in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Student in an Organized Health Care Education/Training Program in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.