BRAEDEN BAKER OTT (NPI# 1063986222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063986222 |
| Entity Type | Individual |
| Full Name | BRAEDEN BAKER OTT |
| Practice Address |
44 N Greece Rd Hilton NY 14468-8914 |
| Practice Telephone | 5854657399 |
| Mailing Telephone | 5854657399 |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
44 N GREECE RD |
| City | HILTON |
| State | NY |
| Zip Code | 14468-8914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508282054 | Sandra Marie Santangelo | Licensed Practical Nurse | 64 East Wautoma Beach Rd., Hilton, NY 14468 | 2014-03-07 |
| 1205086303 | Renee' Michelle Falzolare | Licensed Practical Nurse | 13b Marple Lane, Hilton, NY 14468 | 2008-09-24 |
| 1104038611 | Dr Daniel Scheg Optometrist | Eyewear Supplier (Equipment, not the service) | 50 East Avenue, Hilton, NY 14468 | 2007-05-04 |
| 1356427694 | Hilton Health Care PC | Family Medicine | 279 East Avenue, Hilton Health Care PC, Hilton, NY 14468 | 2006-10-30 |
| 1932185931 | Virginia J Duffy | Registered Nurse | 126 Ferguson Dr, Hilton, NY 14468 | 2005-12-21 |
| 1740652494 | Sharon Keens | Physical Therapist | 16 Main St, Hilton, NY 14468 | 2015-10-21 |
| 1790907236 | Rosenkrans Pharmacy Inc | Pharmacy | 32 Main St, Hilton, NY 14468 | 2007-05-03 |
| 1376051953 | Cheryl Ann Johnson | Registered Nurse | 9 Peach Blossom Rd S, Hilton, NY 14468-1017 | 2018-01-17 |
| 1477805414 | Janet A Widrick | Doula | 24 Peach Blossom Rd S, Hilton, NY 14468-1018 | 2012-10-14 |
| 1659837003 | Todd W Prince | Driver | 22 Timberwood Dr, Hilton, NY 14468-1044 | 2019-02-11 |
| Find all providers in zip 14468 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124986 | Khyati Zala | Student in an Organized Health Care Education/Training Program | 143 South Dr, New Hyde Park, NY 11040-2232 | 2020-11-06 |
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1063013936 | Kenneth Yang | Student in an Organized Health Care Education/Training Program | 30 Rover Ln, Hicksville, NY 11801-6253 | 2020-11-05 |
| 1770184061 | Talia Regina Stagnitta | Student in an Organized Health Care Education/Training Program | 134 Shaber Rd, Patchogue, NY 11772-2429 | 2020-11-04 |
| 1316548605 | Caitlin Hitsous Fitzpatrick | Student in an Organized Health Care Education/Training Program | 18 Hampton Ct, Port Washington, NY 11050-3021 | 2020-11-04 |
| 1538760814 | Adam Paul Tamburello | Student in an Organized Health Care Education/Training Program | 4 Foothill Ln, East Northport, NY 11731-4107 | 2020-11-04 |
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1255932539 | Jordan Taylor Rucks | Student in an Organized Health Care Education/Training Program | 17 Hollingsworth Pl, Centereach, NY 11720-2111 | 2020-11-04 |
| 1639770266 | Fahad Gul Khan | Student in an Organized Health Care Education/Training Program | 760 Broadway Rm 10a218, Brooklyn, NY 11206-5383 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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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.