JENNA BROCKHUIZEN (NPI# 1184010928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184010928 |
| Entity Type | Individual |
| Full Name | JENNA BROCKHUIZEN |
| Practice Address |
635 W Water St Elmira NY 14905 |
| Mailing Address |
1008 N Adams St Wilmington DE 19801-1325 |
| Practice Telephone | 6077344333 |
| Practice Fax Number | 6077540658 |
| Mailing Telephone | 3155764781 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2018-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | F1-0000915 | DE | Chiropractic Providers |
| Street Address |
635 W WATER ST |
| City | ELMIRA |
| State | NY |
| Zip Code | 14905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487697900 | Peter James Guarnieri | Chiropractor | 635 W Water St, Elmira, NY 14905-2409 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780234146 | Theron Bennett | Technician | 900 West First Street, Elmira, NY 14905 | 2019-09-18 |
| 1558893792 | Zhezheng Li | Student in an Organized Health Care Education/Training Program | 600 Roe Street, Elmira, NY 14905 | 2017-03-28 |
| 1932555885 | Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 602 Ivy Street, Elmira, NY 14905 | 2016-05-10 |
| 1982974465 | Chris Cook | Registered Nurse | 110 Hendy Ave, Elmira, NY 14905 | 2011-12-30 |
| 1578795290 | Richard Grinstead | Radiology | Arnot Ogden Medical Center, 600 Roe Ave, Elmira, NY 14905 | 2009-08-13 |
| 1033343967 | Janice Elaine Jackson | Registered Nurse | 1135 Hoffman Street, Elmira, NY 14905 | 2009-05-06 |
| 1598823361 | Obrien Hearing Aid Center | Hearing Aid Equipment | 227 Hoffman St, Elmira, NY 14905 | 2006-12-05 |
| 1487712634 | Robert Gordon Lyon | Dentist | 208 Walnut Street, Elmira, NY 14905 | 2006-12-04 |
| 1215009600 | Twin Tiers Dental Pllc | Dentist | 420 West Water St, Elmira, NY 14905 | 2006-11-14 |
| 1356432348 | Womens Health Services of Elmira | Obstetrics & Gynecology | 600 Fitch St Su 102, Elmira, NY 14905 | 2006-09-27 |
| Find all providers in zip 14905 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104217710 | Lori Davies | Chiropractor | 200 E 14th St, Ste A, Elmira, NY 14903-1339 | 2015-02-18 |
| 1194043919 | Martin John Dipetta | Chiropractor | 907 Pennsylvania Ave, Elmira, NY 14904-2633 | 2010-05-05 |
| 1295813368 | Joseph John Marino | Chiropractor | 635 W Water Street, Elmira, NY 14905-2409 | 2006-11-02 |
| 1366478778 | Emily Kate Canfield | Chiropractor | 147 W Gray St Ste 207, Elmira, NY 14901-3032 | 2006-06-25 |
| 1487697900 | Peter James Guarnieri | Chiropractor | 635 W Water St, Elmira, NY 14905-2409 | 2006-06-13 |
| 1114901832 | Donna H Rodriguez | Chiropractor | 460 E Church St, Elmira, NY 14901-2832 | 2005-12-06 |
| 1437423555 | Nicklaus Micah Barnes | Chiropractor | 460 E Church St, Elmira, NY 14901-2832 | 2012-03-07 |
| 1558597930 | Crystal Gullo-buzzetti | Chiropractor | 147 W Gray St, 207, Elmira, NY 14901-3017 | 2009-05-30 |
| 1649313701 | Hapeman Rodriguez Chiropractic, PC | Chiropractor | 460 E Church St, Elmira, NY 14901-2832 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980959 | Jay Rosenbluth | Chiropractor | 501 5th Ave Rm 809, New York, NY 10017-7809 | 2020-10-20 |
| 1457959223 | Howard Joseph Baron | Chiropractor | 360 Shore Rd Apt 6b, Long Beach, NY 11561-4374 | 2020-10-14 |
| 1003414079 | Brett John Poniros | Chiropractor | 220 Tompkins Ave, Pleasantville, NY 10570-3146 | 2020-10-13 |
| 1528675923 | Dominic Estevez | Chiropractor | 361 N Broadway, Lindenhurst, NY 11757-3302 | 2020-09-29 |
| 1457963969 | Mariella Townsend | Chiropractor | 220 S Service Rd Ste 12, Roslyn Heights, NY 11577-2131 | 2020-08-18 |
| 1235740275 | Andrea Hope Levin | Chiropractor | 280 Beaumont St, Brooklyn, NY 11235-4121 | 2020-08-13 |
| 1326657354 | David Gurpegui | Chiropractor | 13263 Maple Ave Apt 2r, Flushing, NY 11355-4417 | 2020-07-27 |
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1700404027 | Amy J Lin | Chiropractor | 8225 Queens Blvd Ste 1a, Elmhurst, NY 11373-4242 | 2020-07-13 |
| 1124646856 | Brayana Lashay Dudley | Chiropractor | 25 Scott Ln, Rochester, NY 14624-3919 | 2020-07-09 |
| 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.