JENNY L BRADY (NPI# 1932347515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932347515 |
| Entity Type | Individual |
| Full Name | JENNY L BRADY |
| Credential | MSN, RN, CPNP |
| Practice Address |
7410 Cooper Tavern Rd Ste B Quinton VA 23141-2260 |
| Mailing Address |
Po Box 8310 Roanoke VA 24014-0310 |
| Practice Telephone | 8042233608 |
| Practice Fax Number | 8042233648 |
| Mailing Telephone | 5403453556 |
| Mailing Fax Number | 5403422193 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024166070 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225453699 | Jenny R Brady | Nurse Practitioner | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2014-02-21 |
| Street Address |
7410 COOPER TAVERN RD STE B |
| City | QUINTON |
| State | VA |
| Zip Code | 23141-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811452576 | New Kent Pediatrics | Nurse Practitioner | 7410 Cooper Tavern Rd Ste B, Quinton, VA 23141-2257 | 2019-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770906430 | Chaka Otey | Technician/Technologist | 8032 Airport Rd, Quinton, VA 23141 | 2014-01-30 |
| 1942528427 | New Kent Optical | Technician/Technologist | 25209 New Kent Highway, Quinton, VA 23141 | 2010-05-10 |
| 1558688499 | Jacqueline M Kowal | Technician/Technologist | 2520 New Kent Highway, Quinton, VA 23141 | 2010-05-03 |
| 1538179213 | Vicki L. Tibbs,dds,pc | Dentist | 2632 Pocahontas Trail, Quinton, VA 23141 | 2006-08-08 |
| 1205089208 | Carl William Mccrady | Dentist | 2690 Dispatch Rd, Quinton, VA 23141 | 2008-11-04 |
| 1255518726 | Vicki Lee Tibbs | Dentist | 2632 Pocahontas Trail, Quinton, VA 23141 | 2008-01-28 |
| 1053418384 | Allison S Mcinnis | Physician Assistant | 1850 Pocahontas Trail, Quinton, VA 23141-0007 | 2006-09-20 |
| 1285939314 | Alliance Specialty Transport Inc. | Secured Medical Transport (VAN) | 6710 Fairview Dr, Quinton, VA 23141-1139 | 2011-01-21 |
| 1538468541 | Alliance Specialty Transport, Inc | Non-emergency Medical Transport (VAN) | 6710 Fairview Dr, Quinton, VA 23141-1139 | 2011-03-17 |
| 1659711646 | Theresa Hayes | Occupational Therapist | 5406 Hemlock Rd, Quinton, VA 23141-1217 | 2013-07-05 |
| Find all providers in zip 23141 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811452576 | New Kent Pediatrics | Nurse Practitioner | 7410 Cooper Tavern Rd Ste B, Quinton, VA 23141-2257 | 2019-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820010 | Grace Yi | Nurse Practitioner | 6737 Stone Maple Ter, Centreville, VA 20121-5750 | 2020-10-29 |
| 1407455660 | Peds First Healthcare LLC | Nurse Practitioner | 7419 Maclachlan Dr, Chesterfield, VA 23838-5345 | 2020-10-20 |
| 1669097978 | Madison Smith | Nurse Practitioner | 1220 Wythe St Apt 258, Alexandria, VA 22314-2279 | 2020-06-11 |
| 1013542349 | Juliet Brown | Nurse Practitioner | 5249 Duke St Ste 303, Alexandria, VA 22304-2907 | 2020-03-06 |
| 1285268441 | Marlene Mayweathers | Nurse Practitioner | 224d Cornwall St Nw Ste 104, Leesburg, VA 20176-2700 | 2020-02-26 |
| 1972143972 | Katelyn Hinderland | Nurse Practitioner | 500 Discovery Dr Ste 302, Chesapeake, VA 23320-3871 | 2020-01-08 |
| 1760030118 | Meghan Elizabeth Hoskins | Nurse Practitioner | 2035 Waterside Rd # 105, Prince George, VA 23875-1265 | 2019-08-29 |
| 1679049092 | Kellie Anne Archer | Nurse Practitioner | 7605 Forest Ave Ste 102, Henrico, VA 23229-4936 | 2018-10-24 |
| 1811471139 | Jessica Tabor Cline | Nurse Practitioner | 900a Rio East Ct, Charlottesville, VA 22901-8040 | 2018-09-21 |
| 1306329222 | Laura Elizabeth Grove | Nurse Practitioner | 1002 Amherst St Ste C, Winchester, VA 22601-3323 | 2018-09-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JENNY L 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.