MRS. JACQUELINE L BRASIE (NPI# 1629146618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629146618 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE L BRASIE |
| Credential | LPN |
| Practice Address |
5740 State Route 13 Lot 21 Chittenango NY 13037-4101 |
| Practice Telephone | 3156552043 |
| Practice Fax Number | 3156552043 |
| Mailing Telephone | 3156552043 |
| Mailing Fax Number | 3156552043 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 256871-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02198103 | 05 |
| Street Address |
5740 STATE ROUTE 13 LOT 21 |
| City | CHITTENANGO |
| State | NY |
| Zip Code | 13037-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821506486 | Randee Ann Mccormick | Licensed Practical Nurse | 112 S. Berkey Drive, Chittenango, NY 13037 | 2018-01-17 |
| 1154877785 | Sean Laubenstein | Physical Therapist | 3198 Route 5 West, Chittenango, NY 13037 | 2016-09-01 |
| 1326411224 | Nicole Mastrangelo | Pharmacist | Kinney Drugs, 540 E. Genesee St., Chittenango, NY 13037 | 2015-11-02 |
| 1861736357 | Bridget A Frio Od | Optometrist | 303 Genesee Street, Chittenango, NY 13037 | 2012-11-21 |
| 1417228933 | Seth Lee Stucker | Military Health Care Provider | 6732 Ramsgate Road, Chittenango, NY 13037 | 2012-01-13 |
| 1376868257 | Meredith Corbett Albert | Physical Therapist | 1398 Route 5 West, Chittenango, NY 13037 | 2010-04-02 |
| 1679709877 | Sylvia B. Brodhead | Registered Nurse | 2277 Osborne Road, Chittenango, NY 13037 | 2009-06-03 |
| 1932279932 | Chittenango Dental | Dentist | 153 West Genesee Street, Chittenango, NY 13037 | 2006-11-08 |
| 1831206010 | Kph Healthcare Services, Inc. | Pharmacy | 540 Genesee St., Chittenango, NY 13037 | 2006-08-24 |
| 1619940756 | Daniel G Kingsley | Physical Therapist | 1398 Route 5 W, Chittenango, NY 13037 | 2006-02-09 |
| Find all providers in zip 13037 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700341963 | Ola Marie Trieb | Licensed Practical Nurse | 7427 Sandy Hatch Rd, Chittenango, NY 13037-9517 | 2019-02-01 |
| 1821506486 | Randee Ann Mccormick | Licensed Practical Nurse | 112 S. Berkey Drive, Chittenango, NY 13037 | 2018-01-17 |
| 1053709766 | Deborah Brown | Licensed Practical Nurse | 5958 Falls Blvd, Chittenango, NY 13037-8798 | 2015-01-03 |
| 1548522246 | Paula J Davis | Licensed Practical Nurse | 715 Forbes Ave, Chittenango, NY 13037-1115 | 2012-06-09 |
| 1841569589 | Suzanne R Cuomo | Licensed Practical Nurse | 1022 Margot Ln, Chittenango, NY 13037-9726 | 2011-12-27 |
| 1659603454 | Amanda Elizabeth Davis | Licensed Practical Nurse | 612 Button Rd, Chittenango, NY 13037-1237 | 2010-02-03 |
| 1639368640 | Dale Armetta Douglas I | Licensed Practical Nurse | 130 Mallard Bay, Chittenango, NY 13037-9553 | 2007-10-16 |
| 1447321575 | Anita A Barrett | Licensed Practical Nurse | 425 Falls Blvd, Chittenango, NY 13037-1812 | 2006-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | CHITTENANGO |
| Zip Code | 13037 |
Please comment or provide details below to improve the information on MRS. JACQUELINE L BRASIE.
| 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.