BRANDY LEE WADSWORTH (NPI# 1881186930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881186930 |
| Entity Type | Individual |
| Full Name | BRANDY LEE WADSWORTH |
| Practice Address |
79 North St Granville NY 12832 |
| Mailing Address |
100 Park St Glens Falls NY 12801-4447 |
| Practice Telephone | 5186420612 |
| Practice Fax Number | 5186420693 |
| Mailing Telephone | 5189266992 |
| Mailing Fax Number | 5189266983 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 597823 | NY | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
402434 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 65 Poultney St, Whitehall, NY 128871543 | 5184992444 | 5184990317 |
| Street Address |
79 NORTH ST |
| City | GRANVILLE |
| State | NY |
| Zip Code | 12832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487645826 | Ann Marie Gregory | Nurse Practitioner | 79 North St, Granville Family Health, Granville, NY 12832-1137 | 2005-11-03 |
| 1679093439 | Megan Amber Rozell | Physician Assistant | 79 North St, Granville, NY 12832-1137 | 2017-06-22 |
| 1467876409 | Mallory C Edwards | Physician Assistant | 79 North St, Granville, NY 12832-1137 | 2014-02-11 |
| 1619222759 | Glens Falls Hospital Inc | Pediatrics | 79 North St, Granville Family Health, Granville, NY 12832-1137 | 2012-07-16 |
| 1417211962 | North Country Sports Medicine Pllc | Orthopaedic Surgery | 79 North St, Granville, NY 12832-1137 | 2012-06-29 |
| 1306974845 | Cynthia Larrabee Short | Internal Medicine | 79 North St, Granville, NY 12832-1137 | 2007-02-28 |
| 1124169453 | Sean L Kimball | Family Medicine | 79 North St, Granville Family Health, Granville, NY 12832-1137 | 2007-02-09 |
| 1083665582 | Gordon M Thomas | Family Medicine | 79 North St, Granville Family Health Center, Granville, NY 12832-1137 | 2006-05-12 |
| 1174591796 | W Marvin Day | Physician Assistant | 79 North St, Granville Family Health, Granville, NY 12832-1137 | 2006-03-09 |
| 1477528537 | Eileen M Spillane | Family Medicine | 79 North St, Granville Family Health, Granville, NY 12832-1137 | 2006-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851769541 | Freds Pharmacy LLC | Pharmacy | 75 Quaker Street, Granville, NY 12832 | 2015-09-11 |
| 1013353796 | Bianca B. Bernard | Registered Nurse | 84 East Potter Avenue, Granville, NY 12832 | 2013-05-21 |
| 1659693166 | Courtney Alexis Washburn | Pharmacist | 116 Quaker St, Granville, NY 12832 | 2010-02-25 |
| 1720114564 | Arnold Small | Dentist | The Orchard Nursing and Rehabilitation Centre, 10421state Route40, Granville, NY 12832 | 2007-02-26 |
| 1609933423 | Granville Central School District | Local Education Agency (LEA) | 58 Quaker St, Granville, NY 12832 | 2007-01-02 |
| 1891880944 | Anne E Riker | Physician Assistant | 17 Madison Street, Granville, NY 12832 | 2006-10-04 |
| 1184933475 | Elizabethtown Community Hospital | General Acute Care Hospital | 66 Park Street, Suite 100, Elizabethtown, NY 12832-0000 | 2010-10-04 |
| 1942653852 | Laurie Ann Dennison | Registered Nurse | 15 Pine St, Granville, NY 12832-1111 | 2016-07-15 |
| 1952873259 | Michelle Parbus | Physician Assistant | 24 Pine St, Granville, NY 12832-1127 | 2018-12-26 |
| 1710371539 | 73 North of Granville, Inc. | Custodial Care Facility | 73 North St, Granville, NY 12832-1136 | 2015-03-19 |
| Find all providers in zip 12832 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
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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.