MS. JACQUELINE L BROCKMAN (NPI# 1639381262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639381262 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE L BROCKMAN |
| Credential | RD, CDN, CLT |
| Practice Address |
1818 Newkirk Ave Apt 6w Brooklyn NY 11226-7359 |
| Practice Telephone | 5618270372 |
| Mailing Telephone | 5618270372 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2011-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 933767 | NY | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CDR | 933767 | 01 |
| Street Address |
1818 NEWKIRK AVE APT 6W |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11226-7359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447217617 | David Sofer | Physical Therapist | 1818 Newkirk Ave, Lobby D, Brooklyn, NY 11226-7359 | 2006-04-29 |
| 1437631421 | Micah Sommers | Physical Therapist | 1818 Newkirk Ave, Brooklyn, NY 11226-7359 | 2018-09-05 |
| 1952858318 | Stephanie Blomquist | Physical Therapist | 1818 Newkirk Ave, Lobby D, Brooklyn, NY 11226-7359 | 2016-09-02 |
| 1063761799 | Meghna Kanakia | Physical Therapist | 1818 Newkirk Ave, Brooklyn, NY 11226-7359 | 2012-09-10 |
| 1427312826 | Jessica Lee Jackson | Counselor | 1818 Newkirk Ave, #5c, Brooklyn, NY 11226-7359 | 2012-06-29 |
| 1154607703 | Gina L Richardson | Physical Therapist | 1818 Newkirk Ave, Lobby D, Brooklyn, NY 11226-7359 | 2011-10-27 |
| 1386880045 | Donnette Alexia Williams | Occupational Therapist | 1818 Newkirk Ave, Apt. 2v, Brooklyn, NY 11226-7359 | 2008-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1528691698 | Lu Ding | Social Worker | 2417 Albemarle Road, Unit 10d, Brooklyn, NY 11226 | 2020-02-18 |
| 1073089348 | Tiina Treasure | Social Worker | 2414 Church Ave, Brooklyn, NY 11226 | 2018-10-15 |
| 1508344490 | Natasha Samantha Hescott | Dietitian, Registered | 261 Lenox Rd Apt 6a, Brooklyn, NY 11226 | 2018-08-01 |
| 1265921977 | Janice Tom-george | Social Worker | 1818 Newkirk Ave Apt 4m, Brooklyn, NY 11226 | 2018-05-08 |
| 1336641299 | Millennia Ruth Lytle | Nutritionist | 135 Clarkson Ave, F8, Brooklyn, NY 11226 | 2018-03-06 |
| 1619495991 | Cassandra Wong | Physician Assistant | 163 Veronica Pl Apt 1r, Brooklyn, NY 11226 | 2017-09-06 |
| 1164940128 | Nz Pharmacy Inc | Pharmacy | 1296 Nostrand Ave, Brooklyn, NY 11226 | 2017-08-30 |
| 1497282412 | Shella St Ima | Licensed Practical Nurse | 45 E 25th St Fl 1, Brooklyn, NY 11226 | 2017-05-22 |
| 1174068209 | Tracey-ann Treadwell | Registered Nurse | 448 East 26th St., Apt 8, Brooklyn, NY 11226 | 2016-12-28 |
| Find all providers in zip 11226 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164745 | Suzanne Finkel | Dietitian, Registered | 215 Saint James Pl Apt 1a, Brooklyn, NY 11238-2374 | 2020-11-04 |
| 1699376285 | Naudia V Jones | Dietitian, Registered | 2111 Foster Ave Apt 1b, Brooklyn, NY 11210-1016 | 2020-11-02 |
| 1477150639 | Claire Marie Anselmo Keady | Dietitian, Registered | 230 Jay St Apt 2b, Brooklyn, NY 11201-1932 | 2020-10-01 |
| 1376158287 | Arthur Gillman | Dietitian, Registered | 242 Prospect Park W Apt 2r, Brooklyn, NY 11215-5841 | 2020-09-09 |
| 1386256147 | Jean Hanks | Dietitian, Registered | 1 Duffield St Apt 108, Brooklyn, NY 11201-2214 | 2020-08-21 |
| 1477164168 | Qiong Zhou | Dietitian, Registered | 833 42nd St, Brooklyn, NY 11232-4003 | 2020-08-14 |
| 1699385187 | Sydney B Monti | Dietitian, Registered | 2171 Ryder St, Brooklyn, NY 11234-5003 | 2020-08-09 |
| 1497363162 | Anca Pop | Dietitian, Registered | 451 Clarkson Ave Rm E4w26, Brooklyn, NY 11203-2054 | 2020-07-20 |
| 1003424979 | Susan S Juray | Dietitian, Registered | 1310 Pennsylvania Ave Apt 14g, Brooklyn, NY 11239-1918 | 2020-07-16 |
| 1134747561 | Anna Brown | Dietitian, Registered | 135 S 2nd St Apt 4b, Brooklyn, NY 11249-5276 | 2020-07-13 |
| 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.