BRENDA ROSEBERRY (NPI# 1073697918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073697918 |
| Entity Type | Individual |
| Full Name | BRENDA ROSEBERRY |
| Practice Address |
713 Troy Schenectady Rd Ste 218 Latham NY 12110-2490 |
| Mailing Address |
711 Troy Schenectady Rd Suite 201 Latham NY 12110-2442 |
| Practice Telephone | 5187833110 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
446742 | NY | Nursing Service Providers |
| Street Address |
713 TROY SCHENECTADY RD STE 218 |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-2490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396192878 | Rolandy Dumornay | Optometrist | 713 Troy Schenectady Rd Ste 218, Latham, NY 12110-2490 | 2016-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417034430 | Janet Kondracki | Registered Nurse | 713 Troy Schenectady Rd, Suite 218, Latham, NY 12110-2490 | 2006-11-01 |
| 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 | ||||
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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.