Kathy Andrea Braxton, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704235556 Issued in MI

Practice address

20212 Ryan Rd
Detroit, MI 48234-1930

Phone

(313) 424-3944

NPI assigned

Sep 26, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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.

• Universal Private Duty Nursing Services LLC

  • In Home Supportive Care Agency
  • Detroit, MI
  • NPI 1669807384
  NPD (past) Authorized official

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1972854255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20212 RYAN RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341930",
            "telephone_number": "313-424-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20212 RYAN RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341930",
            "telephone_number": "313-424-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAXTON",
        "first_name": "KATHY",
        "middle_name": "ANDREA",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704235556",
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "MI",
            "license": "4704235556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tzvi Braver, D.O.
• Claudia Bravo-Sanchez
• Guadalupe Bravo, CP
• Bridget Braxton
• Dana Braxton, PHARMD
• Monica Amena Braxton, LPN
• Tia Lanise Braxton, LMSW
• Ryan Bray
• Maureen R Braziunas, CRNA
• Breakingcycles Foundation, Inc.

• Registered Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.