MRS. LISA M. BRADT


Address: 300 Delaware Ave, Suite 100, Buffalo, NY 14202-1807
Phone: 7169033730

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1005X Dietitian, Registered
Specialization: Nutrition, Renal
005925-1 NY Dietary & Nutritional Service Providers

Office Location

Street Address 300 DELAWARE AVE
SUITE 100
City BUFFALO
State NY
Zip Code 14202-1807

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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

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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
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Taxonomy Information

Taxonomy Code 133VN1005X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Renal

Taxonomy Definition

Definition to come...

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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
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Competitor

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City BUFFALO
Zip Code 14202

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Dataset Information

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.

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