VICKI BRADY (NPI# 1801872080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801872080 |
| Entity Type | Individual |
| Full Name | VICKI BRADY |
| Credential | APRN |
| Practice Address |
3500 Tower Ave Superior WI 54880-5335 |
| Practice Telephone | 7153955454 |
| Mailing Telephone | 7153955454 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2007-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
153338 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3500 TOWER AVE |
| City | SUPERIOR |
| State | WI |
| Zip Code | 54880-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659911014 | Mary K Robinson | Social Worker | 3500 Tower Ave, Superior, WI 54880-4491 | 2020-01-13 |
| 1265093413 | Paige Lois Slemmons | Physical Therapist | 3500 Tower Ave, Superior, WI 54880-4491 | 2019-06-27 |
| 1164994513 | Elaina A Fischer | Nurse Practitioner | 3500 Tower Ave, Superior, WI 54880-4491 | 2018-12-26 |
| 1992229579 | Renee Christine Karth-pearson | Social Worker | 3500 Tower Ave, Superior, WI 54880-4491 | 2017-07-26 |
| 1821518267 | Ryan Morgan | Family Medicine | 3500 Tower Ave, Superior, WI 54880-4491 | 2017-06-27 |
| 1639699200 | Nicholas C. Ellefson | Family Medicine | 3500 Tower Ave, Superior, WI 54880-4491 | 2017-06-23 |
| 1760837819 | Eric James Estes | Physical Therapist | 3500 Tower Ave, Superior, WI 54880-4491 | 2016-04-26 |
| 1710352018 | Christina Drexler | Occupational Therapist | 3500 Tower Ave, Superior, WI 54880-5395 | 2015-12-11 |
| 1063881399 | The Duluth Clinic, Ltd. | Pharmacy | 3500 Tower Ave, Suite C, Superior, WI 54880-4685 | 2015-09-16 |
| 1871962282 | The Duluth Clinic, Ltd. | Pharmacy | 3500 Tower Ave, Suite B, Superior, WI 54880-4685 | 2015-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
| 1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
| 1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
| 1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
| 1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
| 1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| Find all providers in zip 54880 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891311346 | Jasper Welter | Nurse Practitioner | 2300 S Rock Creek Pkwy Apt 29-204, Superior, CO 80027-4418 | 2020-06-21 |
| 1396263653 | Angela Kaye Joneson | Nurse Practitioner | Essentia Health St. Mary's-superior Clinic, 3500 Tower Avenue, Superior, WI 54880-5335 | 2017-09-06 |
| 1437451994 | Leslie S. L. Broad | Nurse Practitioner | 6 Sandpiper Pl, Superior, WI 54880-5390 | 2010-12-03 |
| 1821058421 | Karen Wyse Niedermier | Nurse Practitioner | 2202 E 2nd St Ste 377, Superior, WI 54880-3778 | 2006-03-27 |
| 1073598595 | Harma A Drenth | Nurse Practitioner | 3 Superior Dr Ste 100a, Superior, CO 80027-8653 | 2005-12-07 |
| 1609850866 | Carolyn Irene Roe | Nurse Practitioner | 2231 Catlin Ave, Superior, WI 54880-5137 | 2005-12-01 |
| 1164994513 | Elaina A Fischer | Nurse Practitioner | 3500 Tower Ave, Superior, WI 54880-4491 | 2018-12-26 |
| 1740694108 | Tina Walman | Nurse Practitioner | 2202 East 2nd Street, Suite 377, Superior, WI 54880-3709 | 2014-06-13 |
| 1316386998 | Kelly Kristine Parish-larson | Nurse Practitioner | 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880-5335 | 2013-06-18 |
| 1134487176 | Nicole Kristine-baur Bakken | Nurse Practitioner | 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880-5335 | 2012-04-27 |
| Find all providers in SUPERIOR | ||||
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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.