MRS. LISA M. BRADT (NPI# 1023282738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023282738 |
Entity Type | Individual |
Full Name | MRS. LISA M. BRADT |
Credential | RD, CSR, CDN |
Practice Address |
300 Delaware Ave Suite 100 Buffalo NY 14202-1807 |
Mailing Address |
4490 Seneca St West Seneca NY 14224-3139 |
Practice Telephone | 7169033730 |
Mailing Telephone | 7166770102 |
Enumeration Date | 2008-04-15 |
Last Update Date | 2008-05-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
005925-1 | NY | Dietary & Nutritional Service Providers |
Street Address |
300 DELAWARE AVE SUITE 100 |
City | BUFFALO |
State | NY |
Zip Code | 14202-1807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629242649 | National Kidney Foundation of Western New York | Voluntary or Charitable | 300 Delaware Ave, Suite 101, Buffalo, NY 14202-1807 | 2008-04-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376141655 | Deborah Elaine Ricci | Counselor | 43o Niagara Sq, Buffalo, NY 14202 | 2020-10-09 |
1831716208 | Meagan Licata | Counselor | Bestself Behavioral Health, 255 Delaware Ave Ste 300, Buffalo, NY 14202 | 2020-07-01 |
1962022483 | Autumn Marie Hayes I | Counselor | 625 Deleware Avenue, Suite 204, Buffalo, NY 14202 | 2020-04-24 |
1861012742 | Natasha Qutab | Student in an Organized Health Care Education/Training Program | Department of Neurology, 1010 Main Street, 2nd Floor, Buffalo, NY 14202 | 2020-04-21 |
1396232245 | Wood Dental LLC | Dentist | 564 Franklin Street, Buffalo, NY 14202 | 2018-04-17 |
1083130728 | Lydia Heeeun Doublestein | Advanced Practice Midwife | 367 Delaware Ave, Buffalo, NY 14202 | 2017-08-15 |
1356861652 | Michelle Cheesman | Speech-Language Pathologist | 801 City Hall, Buffalo, NY 14202 | 2017-06-27 |
1275082075 | Tempresst Nycole Batts Ravenell | Registered Nurse | 69 Delaware Ave Suite 1200, Interim Healthcare, Buffalo, NY 14202 | 2016-09-22 |
1972974764 | Tiffany Tyran | Registered Nurse | 69 Delaware Ave, Suite 1200, Buffalo, NY 14202 | 2015-10-19 |
1487044368 | Katherine Jeffries-coppola | Registered Nurse | 69 Delaware Ave. Suite 1200, Buffalo, NY 14202 | 2015-01-29 |
Find all providers in zip 14202 |
Taxonomy Code | 133VN1005X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Renal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215558507 | Joan Marie Christensen | Dietitian, Registered | 1550 Richmond Ave Ste 101, Staten Island, NY 10314-1578 | 2020-04-28 |
1235759234 | Pappoe M.d. Ny, Pllc | Dietitian, Registered | 330 Hudson St Ste 300, New York, NY 10013-1046 | 2020-04-20 |
1497385181 | Bibiana Alvarez | Dietitian, Registered | 9820 62nd Dr Apt 1e, Rego Park, NY 11374-1701 | 2020-01-22 |
1245782663 | You Lin | Dietitian, Registered | 327 E 83rd St, 3c, New York, NY 10028-4356 | 2016-11-02 |
1487061750 | Elizabeth Kirk | Dietitian, Registered | 31 Chi Mar Dr, Rochester, NY 14624-4055 | 2014-07-17 |
1447523170 | Linda Marie Noto | Dietitian, Registered | 2193 Sherman Ave, North Collins, NY 14111-9782 | 2012-02-10 |
1497056774 | Julie E Colvin | Dietitian, Registered | 174 S Estate Dr, Webster, NY 14580-2818 | 2010-11-03 |
1891024147 | Andrea Robin Davis | Dietitian, Registered | 9405 66th Ave, Rego Park, NY 11374-4631 | 2009-12-16 |
1942487509 | Choren Patricia Wright | Dietitian, Registered | 55 Old Nyack Tpke Ste 611, Nanuet, NY 10954-2454 | 2008-01-25 |
1386821288 | Sharon Stall | Dietitian, Registered | 221 Wilshire Rd, Rochester, NY 14618-1222 | 2008-01-23 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.