BETH BRADDOCK FNP NPI 1114518438

NPI Information

  • NPI: 1114518438
  • Provider Name: BETH BRADDOCK, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15116 GIBSON RD
    ASHVILLE, OH
    ZIP 43103
  • Phone: (740) 804-2756

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NPI Details

Beth Braddock, FNP is a family nurse practitioner in Ashville, OH with 5 years of experience. Beth Braddock, FNP NPI is 1114518438. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15116 GIBSON RD
ASHVILLE, OH
ZIP 43103-663
Phone: (740) 804-2756

The NPI 1114518438 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/29/2021 and was last updated on 1/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyLE-00035424OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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