MS. MICHELLE RENEE LYDE (NPI# 1295785947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295785947 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE RENEE LYDE |
| Credential | RPA-C |
| Practice Address |
937 Fulton St Brooklyn NY 11238-2347 |
| Mailing Address |
22 Chapel St Brooklyn NY 11201-1903 |
| Practice Telephone | 7187892452 |
| Mailing Telephone | 7182602962 |
| Mailing Fax Number | 7185223186 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 008555-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
937 FULTON ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11238-2347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971570 | Anya Harris | Licensed Practical Nurse | 937 Fulton St, Brooklyn, NY 11238-2347 | 2020-10-29 |
| 1437773231 | Samantha Claburn | Registered Nurse | 937 Fulton St, Brooklyn, NY 11238-2347 | 2020-06-08 |
| 1780208587 | Christina Draggon | Registered Nurse | 937 Fulton St, Brooklyn, NY 11238-2347 | 2020-06-08 |
| 1457974826 | Kalia Stewart | Licensed Practical Nurse | 937 Fulton St, Brooklyn, NY 11238-2347 | 2020-05-20 |
| 1205461928 | Melanie King | Nurse Practitioner | 937 Fulton St, Brooklyn, NY 11238-2347 | 2020-03-04 |
| 1174157598 | Michael Mccormick | Counselor | 937 Fulton St, Brooklyn, NY 11238-2347 | 2020-02-25 |
| 1437712007 | Carlos Torres | Registered Nurse | 937 Fulton St, Brooklyn, NY 11238-2347 | 2019-04-18 |
| 1902304678 | Beth Pembroke | Registered Nurse | 937 Fulton St, Brooklyn, NY 11238-2347 | 2018-01-29 |
| 1689187387 | Abigail Hunter | Nurse Practitioner | 937 Fulton St, Brooklyn, NY 11238-2347 | 2017-11-16 |
| 1790201630 | Ebony Barnes | Licensed Practical Nurse | 937 Fulton St, Brooklyn, NY 11238-2347 | 2017-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434135 | Shuowen Zhang | Social Worker | 535 Clinton Ave, 2nd Floor, Brooklyn, NY 11238 | 2020-07-06 |
| 1558909465 | Greene Ave Dental Pllc | Dentist | 335 Greene Ave, Brooklyn, NY 11238 | 2019-12-11 |
| 1558912311 | Haruka Ka | Social Worker | 535 Clinton Avenue, 2nd Floor, Brooklyn, NY 11238 | 2019-09-24 |
| 1407406978 | Zilin Li | Counselor | 535 Clinton Ave 2nd Floor, Community Counseling and Mediation, Brooklyn, NY 11238 | 2019-09-17 |
| 1770065492 | Batsheva Becher | Occupational Therapist | 419 Waverly Ave, Brooklyn, NY 11238 | 2018-08-29 |
| 1083194351 | Manhattan Integrative Gastroenterology | Internal Medicine | 550 Vanderbilt Ave Apt 803, Brooklyn, NY 11238 | 2018-08-16 |
| 1205328010 | Groundwork Therapy Psychological Services, Pllc | Psychologist | 1000 Dean Street, Suite 226, Brooklyn, NY 11238 | 2018-06-06 |
| 1053820464 | Darlene Latasha Parham | Registered Nurse | 400 Saint Marks Ave, 2a, Brooklyn, NY 11238 | 2017-09-28 |
| 1578085585 | Rocio Sorribas | Specialist | 244 Lafayette Avenue, Floor 1, Brooklyn, NY 11238 | 2017-07-11 |
| 1528509056 | Carolanne Marcantonio | Social Worker | 60 Plaza St East, Bs-1, Brooklyn, NY 11238 | 2017-03-16 |
| Find all providers in zip 11238 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| 1376142737 | Amanda Shinall | Physician Assistant | 28 Old Fulton St Apt 4b, Brooklyn, NY 11201-6909 | 2020-10-18 |
| 1497353825 | Tsz Yan Soo | Physician Assistant | 8825 26th Ave Fl 2, Brooklyn, NY 11214-5408 | 2020-10-16 |
| 1164038907 | Emily Mai | Physician Assistant | 1956 W 9th St, Brooklyn, NY 11223-2548 | 2020-09-17 |
| 1497369342 | Krystal Renee Alexander | Physician Assistant | 2225 Ditmas Ave Apt 1a, Brooklyn, NY 11226-6993 | 2020-09-08 |
| 1578177390 | Celia Chen | Physician Assistant | 2628 E 18th St, Brooklyn, NY 11235-3659 | 2020-08-31 |
| 1669084547 | Peter Forman | Physician Assistant | 86 Saint Felix St, Brooklyn, NY 11217-3032 | 2020-08-20 |
| 1699383646 | Fabienne Mondelus | Physician Assistant | 715 E 108th St Apt 3c, Brooklyn, NY 11236-2929 | 2020-07-15 |
| 1508492729 | Esther Weitzner | Physician Assistant | 1195 E 12th St, Brooklyn, NY 11230-4811 | 2020-03-19 |
| Find all providers in BROOKLYN | ||||
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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.