BRENDA L KOSYDAR (NPI# 1467784462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467784462 |
| Entity Type | Individual |
| Full Name | BRENDA L KOSYDAR |
| Credential | RN, BSN, CDE |
| Practice Address |
40 Arch St Johnson City NY 13790-2102 |
| Mailing Address |
346 Grand Ave Johnson City NY 13790-2580 |
| Practice Telephone | 6077636092 |
| Practice Fax Number | 6077636677 |
| Mailing Telephone | 6077700025 |
| Mailing Fax Number | 6077292209 |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
575063 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225692114 | Brenda Kosydar | Counselor | 341 E 12th Ave, Eugene, OR 97401-3275 | 2019-04-25 |
| Street Address |
40 ARCH ST |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568150 | Lorne R Campbell Sr. | Family Medicine | 40 Arch St, Johnson City, NY 13790-2102 | 2005-06-20 |
| 1124405600 | Lauren Zagieboylo | Student in an Organized Health Care Education/Training Program | 40 Arch St, Johnson City, NY 13790-2102 | 2015-05-04 |
| 1699194159 | Aditya Mehta | Family Medicine | 40 Arch St, Johnson City, NY 13790-2102 | 2014-04-14 |
| 1649699117 | Shownak Shreyarthi | Family Medicine | 40 Arch St, Johnson City, NY 13790-2102 | 2014-04-14 |
| 1295154730 | Mckirven Ceus | Family Medicine | 40 Arch St, Johnson City, NY 13790-2102 | 2014-04-14 |
| 1972920981 | Judith Lathrop Samsel | Registered Nurse | 40 Arch St, Johnson City, NY 13790-2102 | 2014-03-27 |
| 1043633878 | Julie Douglass | Dietitian, Registered | 40 Arch St, Johnson City, NY 13790-2102 | 2014-01-30 |
| 1619303104 | Jon-erik Wagner | Student in an Organized Health Care Education/Training Program | 40 Arch St, Johnson City, NY 13790-2102 | 2013-09-17 |
| 1821433095 | Saqib Iqbal | Student in an Organized Health Care Education/Training Program | 40 Arch St, Johnson City, NY 13790-2102 | 2013-05-01 |
| 1194085803 | Tyson Don Brierley | Family Medicine | 40 Arch St, Johnson City, NY 13790-2102 | 2012-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760748016 | Joy A Forsberg | Registered Nurse | 40 Arch St, Johnson City, NY 13790-2102 | 2012-04-11 |
| 1780964684 | United Health Services Inc | Registered Nurse | 40 Arch St, Johnson City, NY 13790-2102 | 2011-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720544612 | Nancy A Rodrigues | Registered Nurse | Ryan Chelsea Clinton Clinic, 645 10th Ave, New York, NY 10036-1003 | 2019-02-15 |
| 1366910895 | Charlotte Marie Mcloughlin | Registered Nurse | 3531 168th St, Flushing, NY 11358-1732 | 2018-11-02 |
| 1326529736 | Diabetes & You, LLC | Registered Nurse | 30 Reade Pl, Poughkeepsie, NY 12601-3946 | 2018-08-23 |
| 1033609458 | Simnutrition Inc. | Registered Nurse | 34 Rowan St, Smithtown, NY 11787-1057 | 2018-05-10 |
| 1245727437 | Teresa A Cichosz | Registered Nurse | 17415 Horace Harding Expy # 2f, Fresh Meadows, NY 11365-1527 | 2018-04-13 |
| 1891293452 | Adam Edward Kessler | Registered Nurse | 25 Hackett Blvd Fl 3, Albany, NY 12208-3462 | 2018-01-30 |
| 1972036333 | Jaclyn Defranco | Registered Nurse | 3400 Nesconset Hwy Ste 104, East Setauket, NY 11733-3327 | 2017-04-04 |
| 1588196067 | Lorraine K. Porcaro | Registered Nurse | 707 E Main Street, Diabetes Room 2225e, Middletown, NY 10940 | 2017-04-03 |
| 1063964179 | Ramona Nowak | Registered Nurse | 194 Wycliff Dr, Webster, NY 14580-2824 | 2016-10-25 |
| 1699162792 | Sara L Mcmillan | Registered Nurse | 356 Sunrise Blvd, Williamsville, NY 14221-3127 | 2015-04-16 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
Please comment or provide details below to improve the information on BRENDA L KOSYDAR.
| 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.