Individual provider Active NPI

Kathleen Pospisil Brady, FNP-C

  • Family Nurse Practitioner
  • Wittmann, AZ
National Provider Identifier
1962829713
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5393 Issued in AZ
Practice address
24112 W Jomax Rd
Wittmann, AZ 85361-5506
Phone
(602) 833-4096
Fax
(602) 536-0870
NPI assigned
Mar 18, 2014
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP5393 AZ Primary
Diabetes Educator Registered Nurse 163WD0400X 32300265 AZ

Addresses

Primary practice location

24112 W Jomax Rd
Wittmann, AZ 85361-5506

Mailing address

24112 W Jomax Rd
Wittmann, AZ 85361-5506
Phone (602) 833-4096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
32300265AZMDDiabetes Educator Registered Nurse
AP5393AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kathleen.brady.1@24378.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1962829713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24112 W JOMAX RD",
            "city": "WITTMANN",
            "state": "AZ",
            "postal_code": "853615506",
            "telephone_number": "602-833-4096",
            "fax_number": "602-536-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24112 W JOMAX RD",
            "city": "WITTMANN",
            "state": "AZ",
            "postal_code": "853615506",
            "telephone_number": "602-833-4096",
            "fax_number": "602-536-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "KATHLEEN",
        "middle_name": "POSPISIL",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5393",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "AZ",
            "license": "32300265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wittmann, AZ

Sources for this page

Verify at the official NPI Registry.