KIM ELAINE BACKMAN (NPI# 1205475746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205475746 |
| Entity Type | Individual |
| Full Name | KIM ELAINE BACKMAN |
| Other Name | KIM ELAINE BACKMAN |
| Credential | NP |
| Practice Address |
211 Broadway Ste 207 Lynbrook NY 11563-3290 |
| Mailing Address |
100 Fairway Rd Lido Beach NY 11561-4820 |
| Practice Telephone | 5162446968 |
| Mailing Telephone | 5162446968 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
402879 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
211 BROADWAY STE 207 |
| City | LYNBROOK |
| State | NY |
| Zip Code | 11563-3290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896997 | Biofeedback, Mental Health Counseling and Creative Arts Therapy, Pllc | Counselor | 211 Broadway Ste 207, Lynbrook, NY 11563-3290 | 2018-03-29 |
| 1306444302 | Annie Jan | Counselor | 211 Broadway Ste 207, Lynbrook, NY 11563-3290 | 2020-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396392072 | Anisha O Jenkins | Social Worker | 33 Allen Street, Lynbrook, NY 11563 | 2019-08-19 |
| 1093377327 | Ivan Karl Levenson | Occupational Therapist | Sunrise of Lynbrook, 53 Frankling Ave, N Lynbrook, NY 11563 | 2019-07-08 |
| 1124583125 | Maria Theresa Fasano | Speech-Language Pathologist | 111 Atlantic Avenue Lynbrook School District, Lynbrook, NY 11563 | 2019-02-04 |
| 1720561509 | Marianne Muldoon | Social Worker | 326 Vincent Avenue, Lynbrook, NY 11563 | 2018-09-08 |
| 1134659972 | Jaclyn Gonsch | Specialist | 136 Stuart Street, Lynbrook, NY 11563 | 2017-06-14 |
| 1497294797 | Ryan James Doupe | Counselor | 42 Fowler Ave, Lynbrook, NY 11563 | 2017-02-20 |
| 1902261647 | Allegra Grace D'alo | Social Worker | 90 Driving Park Ave, Lynbrook, NY 11563 | 2015-12-23 |
| 1699106039 | Elizabeth Gaudet Physical Therapy, P.l.l.c. | Physical Therapist | 34 Whittier Street, Lynbrook, NY 11563 | 2013-12-11 |
| 1427496439 | Jennifer Breen | Psychologist | 303 Merrick Rd Ste 302, Lynbrook, NY 11563 | 2013-06-12 |
| 1588000640 | Kelly Patrice Gallagher | Speech-Language Pathologist | 40-20 235th St, Douglaston, NY 11563 | 2013-05-16 |
| Find all providers in zip 11563 | ||||
| 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 |
|---|---|---|---|---|
| 1336451558 | Sylvia Lozada | Nurse Practitioner | 303 Merrick Rd Ste 206, Lynbrook, NY 11563-2501 | 2010-07-02 |
| 1679807077 | Anne V Saunders Np In Psychiatry PC | Nurse Practitioner | 7 Franklin Ave, Lynbrook, NY 11563-1264 | 2009-10-01 |
| 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 |
| 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.