LADY DOC'S LLC (NPI# 1669844239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669844239 |
| Entity Type | Organization |
| Organization Name | LADY DOC'S LLC |
| Practice Address |
630 Brooklawn Ave Bridgeport CT 06604-1528 |
| Practice Telephone | 2036127600 |
| Practice Fax Number | 2036127600 |
| Mailing Telephone | 2036127600 |
| Mailing Fax Number | 2036127600 |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |
| Authorized Official Name | DR. BRENDA DENICE JONES (FOUNDER) |
| Authorized Official Telephone | 2036127600 |
| Authorized Official Credential | ND |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| N | 173C00000X | Reflexologist | Other Service Providers | ||
| N | 175F00000X | Naturopath | Other Service Providers | ||
| N | 175L00000X | Homeopath | Other Service Providers | ||
| Y | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
630 BROOKLAWN AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06604-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740677293 | Chiropractors Without Borders | Chiropractor | 630 Brooklawn Ave, Bridgeport, CT 06604-1528 | 2015-04-22 |
| 1316311988 | Fairfield Alternative Health and Medicine, LLC | Naturopath | 630 Brooklawn Ave, Bridgeport, CT 06604-1528 | 2015-11-19 |
| 1235500083 | Fairfield Alternative Health and Medicine | Naturopath | 630 Brooklawn Ave, Bridgeport, CT 06604-1528 | 2015-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1538663430 | Ryan Attar | Naturopath | 129 Columbia St, Bridgeport, CT 06604 | 2018-03-23 |
| 1487153375 | Fe Y Esperanza Home Care Services | Home Health | 2032 Main Street, Bridgeport, CT 06604 | 2018-02-06 |
| 1013423466 | Va.lu Able Home Care LLC | Registered Nurse | 1000 Lafayette Boulvard, Bridgeport, CT 06604 | 2017-12-21 |
| 1679970172 | Aarti Jawa | Dentist | 594 Pequonnoack Street, Bridgeport, CT 06604 | 2014-11-26 |
| 1932521473 | Anthony Santostefano | Dentist | 594 Pequonnock Street, Bridgeport, CT 06604 | 2014-01-18 |
| 1699011536 | Vanessa Frances Doyle | Naturopath | 115 Broad Street, C/o Center of Excellence, Bridgeport, CT 06604 | 2012-12-21 |
| 1942463302 | Joanna Conte Mcgary | Naturopath | 60 Lafayette Street, Naturopathic Medical Center University of Bridgeport, Bridgeport, CT 06604 | 2008-07-07 |
| 1346415221 | Jenna Lyn Blasi | Naturopath | 60 Lafayette, University of Bridgeport College of Naturopathic Medici, Bridgeport, CT 06604 | 2008-04-23 |
| 1275704462 | Watermark 3030 Park LLC | Skilled Nursing Facility | 3030 Park Ave, Bridgeport, CT 06604 | 2008-03-17 |
| Find all providers in zip 06604 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043796568 | Yekaterina Gabova | Health Educator | 250 Myrtle Ave Ofc 204, Bridgeport, CT 06604-7762 | 2018-07-17 |
| 1902429996 | Sarah Bates | Health Educator | 1000 Lafayette Blvd Ste 1100, Bridgeport, CT 06604-4710 | 2020-05-25 |
| 1306468772 | Sharon Higgins | Health Educator | 1000 Lafayette Blvd, Bridgeport, CT 06604-4725 | 2020-05-08 |
| 1700362142 | John Harris Kirkley | Health Educator | 250 Myrtle Ave Ofc 204, Bridgeport, CT 06604-7762 | 2018-07-18 |
| 1134605652 | Dana Paris Wade | Health Educator | 1000 Lafayette Blvd Ste 1100, Bridgeport, CT 06604-4710 | 2018-07-17 |
| 1003164351 | Jesse Garcia | Health Educator | 130 Voight Ave, Bridgeport, CT 06606-1538 | 2012-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695222 | Prospect Manchester Hospital, Inc. | Health Educator | 2800 Tamarack Ave Ste 100, South Windsor, CT 06074-5553 | 2020-10-08 |
| 1134738685 | Florence Oten | Health Educator | 477 Connecticut Blvd Ste 202, East Hartford, CT 06108-3228 | 2020-07-29 |
| 1982242889 | Sharon Margaret Smith | Health Educator | 33 Church Hill Rd., Newtown, CT 06470 | 2019-12-11 |
| 1912442088 | The Young Men's Christian Association of Wallingford, Incorporated | Health Educator | 81 S Elm St, Wallingford, CT 06492-4703 | 2016-12-28 |
| 1609311877 | Young Men's Christian Association of Metropolitan Hartford, Inc. | Health Educator | 50 State House Sq, Hartford, CT 06103-3902 | 2016-12-27 |
| 1265977524 | Central Connecticut Coast Young Men's Christian Association, Inc. | Health Educator | 1240 Chapel St, New Haven, CT 06511-4602 | 2016-12-22 |
| 1174070064 | The Riverbrook Regional Young Men's Christian Association, Inc. | Health Educator | 404 Danbury Rd, Wilton, CT 06897-2005 | 2016-09-08 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1205297827 | Young Men's Christian Association of Northern Middlesex County, Inc. | Health Educator | 99 Union St, Middletown, CT 06457-3427 | 2016-03-09 |
| 1538538681 | Walter Heimann | Health Educator | 10 Jean Rd, Manchester, CT 06040-4514 | 2015-09-18 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06604 |
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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.