Kathleen Elizabeth Brady, NP
Nurse Practitioner, Family in Oswego, NY. Individual provider (NPI-1).
NPI number1386166379
StatusActive
Last updated in NPPESJul 11, 2017
Details
- NPI
- 1386166379
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Elizabeth Brady
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2017
- Last updated
- Jul 11, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | f340841-1 | NY | Yes |
Practice location
105 County Route 45a Ste 400Oswego, NY 13126-6673
Phone 315-312-0089 · Fax 315-312-0110
Mailing address
5100 W Taft Rd Ste 2gLiverpool, NY 13088-4841
Phone 315-312-0089 · Fax 315-312-0110
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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