KISHA BRADY (NPI# 1811455348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811455348 |
| Entity Type | Individual |
| Full Name | KISHA BRADY |
| Credential | CNP |
| Practice Address |
1350 Belmont Ave Youngstown OH 44504 |
| Mailing Address |
955 S Belle Vista Ave Youngstown OH 44509-2143 |
| Practice Telephone | 3307467007 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.024362 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1044 Belmont Ave, Youngstown, OH 445041006 | 3307744676 | |
| 914 Trailwood Dr, Boardman, OH 445125007 | 3307586440 |
| Street Address |
1350 BELMONT AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458845 | Shay Kahani | Social Worker | 517 Gypsy Lane, Youngstown, OH 44504 | 2019-10-14 |
| 1497312573 | Parth Shah | Student in an Organized Health Care Education/Training Program | Western Reserve Health Education, 500 Gypsy Lane, Medical Office Building A, Youngstown, OH 44504 | 2019-05-23 |
| 1750808473 | Janae White | Home Health | 2278 Cordova Ave, Youngstown, OH 44504 | 2017-08-23 |
| 1760910509 | Ryan Gallagher | Student in an Organized Health Care Education/Training Program | 1001 Covington Ave, Youngstown, OH 44504 | 2017-05-24 |
| 1649727314 | Bilal Abo Almakarim Kanawati | Specialist/Technologist, Other | 461 Gypsy Ln Apt 72, Youngstown, OH 44504 | 2016-09-09 |
| 1174979157 | Hiyam Abdelmagid | Internal Medicine | 1001 Covington Ave., Youngstown, OH 44504 | 2016-05-10 |
| 1962696419 | Earnest Perry, M.d., Inc. | Surgery | 1320 Belmont Avenue, Ste 2, Youngstonw, OH 44504 | 2007-08-28 |
| 1699839738 | Rodney Earl Hill | Family Medicine | 1350 Fifth Ave, Suite 324, Youngstown, OH 44504 | 2006-12-21 |
| 1710063987 | David A Hoffman | Internal Medicine | 1220 Belmont Avenue, Youngstown, OH 44504 | 2006-10-31 |
| 1063444958 | Charmayne Lucille Oliver | Licensed Practical Nurse | 2260 Coronado Ave, Youngstown, OH 44504 | 2006-07-07 |
| Find all providers in zip 44504 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836356 | Amber Thomas | Nurse Practitioner | 2230 Woodland Trce, Youngstown, OH 44515-4828 | 2020-06-23 |
| 1497303168 | Anthea Vyvia Mickens | Nurse Practitioner | 1878 Selma Ave, Youngstown, OH 44504-1302 | 2019-08-27 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1689150229 | Lindsey Thome | Nurse Practitioner | 550 Parmalee Ave Ste 400, Youngstown, OH 44510-1602 | 2018-07-17 |
| 1609375500 | Natalia Josephine Rich | Nurse Practitioner | 377 Boardman Poland Rd, Youngstown, OH 44512-4949 | 2018-02-06 |
| 1700300886 | Jillian Marie Zembower | Nurse Practitioner | 1044 Belmont Ave Fl 2, Youngstown, OH 44504-1006 | 2017-07-31 |
| 1578019600 | Mary Karen Safford | Nurse Practitioner | 150 Carter Cir, Youngstown, OH 44512-6630 | 2016-08-29 |
| 1407203714 | William Joseph Rogers | Nurse Practitioner | 1340 Belmont Ave Ste 2200, Youngstown, OH 44504-1131 | 2016-05-17 |
| 1801989546 | Margaret Louise Kerr | Nurse Practitioner | 1011 Boardman-canfield Rd, Youngstown, OH 44512-4226 | 2006-10-02 |
| 1013990845 | Lori L Leipheimer | Nurse Practitioner | 4694 Belmont Ave, Youngstown, OH 44505 | 2005-11-25 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44504 |
Please comment or provide details below to improve the information on KISHA BRADY.
| 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.