DIANA JERNIGAN-BREEDY (NPI# 1356748826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356748826 |
| Entity Type | Individual |
| Full Name | DIANA JERNIGAN-BREEDY |
| Practice Address |
17 Wycomb Pl Coram NY 11727-1043 |
| Practice Telephone | 7183093481 |
| Mailing Telephone | 7183093481 |
| Enumeration Date | 2014-11-29 |
| Last Update Date | 2016-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 743044131 | NY | Other Service Providers |
| Street Address |
17 WYCOMB PL |
| City | CORAM |
| State | NY |
| Zip Code | 11727-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891490 | Ocean Acupuncture PC | Acupuncturist | 1970-6, Coram, NY 11727 | 2020-05-04 |
| 1982254058 | Lynanne Helen Bopp | Student in an Organized Health Care Education/Training Program | 3600 Ny- 112, Coram, NY 11727 | 2019-09-19 |
| 1427604206 | Embrace Your Energy, LLC | Specialist/Technologist | 300 Wincoram Way, Coram, NY 11727 | 2019-08-16 |
| 1457842247 | Hina Ghani | Pharmacist | 1710 Ny-112, Coram, NY 11727 | 2018-05-29 |
| 1093219636 | James Brian Rochford Jr. | Social Worker | 1980 Ny Route 112, Coram, NY 11727 | 2018-03-20 |
| 1902324502 | Shanell Lovette Woodley | Registered Nurse | Country Club Drive, Apt 10 D, Coram, NY 11727 | 2017-09-03 |
| 1730606377 | Emani, Inc. | Respite Care | 5 Hagen Ct., Coram, NY 11727 | 2017-08-24 |
| 1124553292 | Zhimin Lin | Dentist | 1879 Ny-112, Coram, NY 11727 | 2017-04-26 |
| 1780125286 | Jennifer Zielinski | Specialist | 18 Cammann Road, Coram, NY 11727 | 2017-03-16 |
| 1194271486 | Kimberly Kowalczyk | Psychologist | 28 Hawkins Path, Coram, NY 11727 | 2016-08-28 |
| Find all providers in zip 11727 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841727484 | Karen Gerena | Specialist | 58 Sequoia Dr, Coram, NY 11727-2039 | 2017-05-14 |
| 1780125286 | Jennifer Zielinski | Specialist | 18 Cammann Road, Coram, NY 11727 | 2017-03-16 |
| 1861931552 | Sharon Diwby | Specialist | 1602 Avalon Pines Dr, Coram, NY 11727-5141 | 2017-02-15 |
| 1811443146 | Deanna Flaherty | Specialist | 145 Birchwood Road, Coram, NY 11727-3675 | 2016-08-28 |
| 1649624339 | Stacey-ann Henning | Specialist | 8 Denver Ct, Apt. D8, Coram, NY 11727-1504 | 2016-04-19 |
| 1275995995 | Katherine Gonzales | Specialist | 60 Wellsley Ln, Coram, NY 11727-1013 | 2016-03-22 |
| 1275966327 | Noel Ocasio | Specialist | 157 Skyline Dr, Coram, NY 11727-3616 | 2013-08-13 |
| 1457799603 | Jennifer J Geisler | Specialist | 951 Old Town Rd, Coram, NY 11727-1108 | 2013-06-10 |
| 1407194467 | Jennifer M Drake | Specialist | 1608 Avalon Pines Dr, Coram, NY 11727-5141 | 2013-01-27 |
| 1003151598 | Diane Elizabeth Tynebor | Specialist | 11 Raccoon Path, Coram, NY 11727-2142 | 2012-12-10 |
| Find all providers in CORAM | ||||
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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.