MRS. MONEAH SAMANTHA BARRACKS


Address: 1149 Myrtle Ave, Brooklyn, NY 11206-6007
Phone: 7185741928

MRS. MONEAH SAMANTHA BARRACKS (NPI# 1265841209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265841209
Entity Type Individual
Full Name MRS. MONEAH SAMANTHA BARRACKS
Other Name MISS MONEAH SAMANTHA CLEMMINGS
Credential APN
Practice Address 1149 Myrtle Ave
Brooklyn
NY 11206-6007
Mailing Address 3200 Bensalem Blvd
Bensalem
PA 19020-1956
Practice Telephone 7185741928
Practice Fax Number 7189192374
Mailing Telephone 2157522370
Enumeration Date 2014-08-04
Last Update Date 2020-09-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
SP017568 PA Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
26NJ00507700 NJ Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
F306978-1 NY Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
26NJ00507700 NJ Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3200 Bensalem Blvd, Bensalem, PA 190201956 2157522370

Office Location

Street Address 1149 MYRTLE AVE
City BROOKLYN
State NY
Zip Code 11206-6007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528572211 Margaden Orgela Licensed Practical Nurse 1149 Myrtle Ave, Brooklyn, NY 11206-6007 2017-11-17
1225565872 Matluba Hamroqulova Registered Nurse 1149 Myrtle Ave, Brooklyn, NY 11206-6007 2017-05-15
1043747629 Andrea Hinds Licensed Practical Nurse 1149 Myrtle Ave, Brooklyn, NY 11206-6007 2017-05-15
1437686128 Cheryl Bovell Licensed Practical Nurse 1149 Myrtle Ave, Brooklyn, NY 11206-6007 2017-05-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255957684 Armyda Montoya Novoa Student in an Organized Health Care Education/Training Program Woodhull Medical Center, 760 Broadway, Brooklyn, NY 11206 2020-06-22
1528684107 Elizabeth Nana Ama Sarporma Osei-kuffuor Student in an Organized Health Care Education/Training Program 760 Broadway Woodhull Hospital, Pediatrics Administration 6b23, Brooklyn, NY 11206 2020-06-19
1356965057 Ishan Poudel Student in an Organized Health Care Education/Training Program 760 Broadway, Woodhull Medical and Mental Health Center, Gme - Room 10a216, Brooklyn, NY 11206 2020-05-29
1538721303 Osarodion Osa Igbinomwanhia Student in an Organized Health Care Education/Training Program Woodhull Address 760 Broadway, Department of Pediatrics Room 6b23, New York, NY 11206 2019-07-02
1043872955 Olajide A Sowemimo Student in an Organized Health Care Education/Training Program Dept of Pediatrics, Woodhull Hospital, Room 6b23, 760 Broadway, New York, NY 11206 2019-07-01
1184284895 Jacqueline So Student in an Organized Health Care Education/Training Program 760 Broadway, Room 2c319, Brooklyn, NY 11206 2019-06-14
1326607722 Nicole Chamak Speech-Language Pathologist Ps 141k@380, 370 Marcy Ave - Speech Dept, Brooklyn, NY 11206 2019-06-10
1831660356 Sheena Erica Purcell Registered Nurse White Glove Community Care, Inc., 89 Barlett St, 2nd Floor, Brooklyn, NY 11206 2018-12-10
1922578145 Robert A Rodriguez Social Worker 630 Fushing Ave, Brooklyn, NY 11206 2018-11-30
1346724085 Evelyn Wreh Larbie Licensed Practical Nurse White Glove Community Care, 89 Bartlett Street, Brooklyn, NY 11206 2018-09-19
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295334100 Yin Kong Nurse Practitioner 7105 3rd Avenue, #523, 7105 3rd Avenue, #52, Brooklyn, NY 11209-1308 2020-10-21
1922612944 Rosemarie Elizabeth Crosdale Nurse Practitioner 9019 Avenue A, Brooklyn, NY 11236-1208 2020-09-08
1144832247 Marise Richard Nurse Practitioner 1106 E 57th St, Brooklyn, NY 11234-3312 2020-08-19
1487264008 Dina Levkova Nurse Practitioner 303 Webster Ave Apt 2f, Brooklyn, NY 11230-1256 2020-08-07
1972113694 Winsome Elizabeth Benain Nurse Practitioner 9621 Avenue B, Brooklyn, NY 11236-1321 2020-08-06
1396355327 Samuel S Wilburn Nurse Practitioner 75 Jackson St Apt 1, Brooklyn, NY 11211-2245 2020-08-04
1710595335 Aimee Huang Nurse Practitioner 96 Bay 10th St, Brooklyn, NY 11228-3702 2020-07-20
1700494812 Jessica B Schwab Nurse Practitioner 75 Jackson St Apt 1fh, Brooklyn, NY 11211-2245 2020-07-15
1225654916 Leasha Lindsay Nurse Practitioner 1214 E 87th St, Brooklyn, NY 11236-4929 2020-06-18
1760002323 Satchell-lee Tyrell Nurse Practitioner 537 Rogers Ave, Brooklyn, NY 11225-5445 2020-04-23
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Competitor

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City BROOKLYN
Zip Code 11206

Improve Information

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Dataset Information

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.

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