BRADLEY KECK (NPI# 1215401302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215401302 |
| Entity Type | Individual |
| Full Name | BRADLEY KECK |
| Credential | PEER SPECIALIST |
| Practice Address |
601 South Edwin C Moses Blvd Dayton OH 45417-3424 |
| Practice Telephone | 9377348333 |
| Mailing Telephone | 9377348333 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | OH | Other Service Providers | |
| N | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992212393 | Bradley Neil Keck | Physical Therapist | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2018-01-08 |
| Street Address |
601 SOUTH EDWIN C MOSES BLVD |
| City | DAYTON |
| State | OH |
| Zip Code | 45417-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316919137 | Amy B Jones | Social Worker | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2006-02-06 |
| 1942809660 | Michelle Toops | Registered Nurse | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-10-23 |
| 1912505579 | Anna B Chambers | Registered Nurse | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-10-15 |
| 1639776057 | Johnna G Kovach | Social Worker | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-10-08 |
| 1083229751 | Jenna J Branam | Registered Nurse | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-09-10 |
| 1982219549 | Sarah A Long | Case Manager/Care Coordinator | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-09-10 |
| 1447863550 | Jennifer Marshall | Registered Nurse | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-08-28 |
| 1174136436 | Ericka Hughes | Social Worker | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-08-26 |
| 1437760592 | Megan Schrodi | Social Worker | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-08-12 |
| 1174132922 | Emily M Hunter | Registered Nurse | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329504 | Kanika Crowder | Home Health Aide | 5964 Hoover Ave, Dayton, OH 45417 | 2020-03-03 |
| 1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
| 1205313350 | Latonda T Brewer | Home Health Aide | 3900 Cone Ct, Dayton, OH 45417 | 2018-07-22 |
| 1205326048 | Diane Fillmore | Case Manager/Care Coordinator | 1818 West Main Street, Dayton, OH 45417 | 2018-05-17 |
| 1295222941 | Zainab Saherwala | Student in an Organized Health Care Education/Training Program | 627 S. Edwin C. Moses, East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2018-04-18 |
| 1013430123 | Bridgette Elizabeth Quinlin | Counselor | 4104 Germantown St, Dayton, OH 45417 | 2017-07-20 |
| 1083144679 | Tadesha Marie Gay | Licensed Practical Nurse | 4748 Ericson Ave, Dayton, OH 45417 | 2017-06-15 |
| 1386180099 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 821 S Edwin C Moses Blvd, Dayton, OH 45417 | 2017-01-19 |
| 1770039760 | Jamie E Denlinger | Social Worker | 1 Elizabeth Pl Fl 3, Dayton, OH 45417 | 2016-08-30 |
| 1780069823 | Care4us Behavioral Health Center, LLC | Community/Behavioral Health | 1 Elizabeth Place, Ste 1170, Dayton, OH 45417 | 2015-07-29 |
| Find all providers in zip 45417 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580281 | Kalin Ann Scarberry | Peer Specialist | 119 Neal Ave Apt 3, Dayton, OH 45405-4530 | 2020-05-28 |
| 1639702301 | Kevin Bruce Kerley | Peer Specialist | 2628 Wheeler Ave, Dayton, OH 45406-1636 | 2020-02-20 |
| 1003449943 | Alan Eugean Walder | Peer Specialist | 4145 Kammer Ave, Dayton, OH 45417-1126 | 2020-02-19 |
| 1821629833 | William Brokschmidt | Peer Specialist | 425 Hunter Ave, Dayton, OH 45404-1515 | 2020-01-29 |
| 1194355529 | Jazmen Evans | Peer Specialist | 3536 Golden Meadows Ct, Dayton, OH 45404-1437 | 2020-01-24 |
| 1528606506 | Breanna Lenee' Mays | Peer Specialist | 5128 Derby Rd, Dayton, OH 45417-6229 | 2019-12-20 |
| 1205497237 | Abbey C Gardner | Peer Specialist | 5 Pine Cone Rd Ste 102, Dayton, NV 89403-6309 | 2019-06-20 |
| 1215412929 | Samantha Nicole Newman | Peer Specialist | 1618 Meriline Ave, Dayton, OH 45410-3332 | 2018-09-27 |
| 1356837215 | Christopher Hanson Sykes | Peer Specialist | 639 Woodbourne Trl, Dayton, OH 45459-2903 | 2018-07-03 |
| 1972101582 | Kelli Raney | Peer Specialist | 5 Pine Cone Rd Ste 102, Dayton, NV 89403-6309 | 2020-10-15 |
| Find all providers in DAYTON | ||||
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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.