MARISSA BROOKS (NPI# 1366675175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366675175 |
| Entity Type | Individual |
| Full Name | MARISSA BROOKS |
| Credential | L.P.N |
| Practice Address |
47 Whittier Dr Mastic Beach NY 11951-5110 |
| Practice Telephone | 6317645927 |
| Mailing Telephone | 6317645927 |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 296940-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790162360 | Marissa Nichole Brooks | Physical Therapist | 3600 Aramingo Ave # 11, Philadelphia, PA 19134-4608 | 2015-05-02 |
| 1316593510 | Marissa Brooks | Counselor | 5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790 | 2019-08-13 |
| 1093285272 | Marissa Lynn Brooks | Counselor | 136 Heid Ave, Dayton, OH 45404-1218 | 2018-11-29 |
| 1104210475 | Marissa Brooks | Physical Therapist | 1901 Randolph Rd, Rehabilitation Department - Novant Health Coh, Charlotte, NC 28207-1101 | 2015-03-25 |
| 1295139574 | Marissa Brooks | Counselor | 5802 Rainier Ave S, Seattle, WA 98118-2706 | 2014-10-15 |
| 1346485521 | Marissa Brooks | Massage Therapist | 315 1st Ave W, Ste A, Seattle, WA 98119-4156 | 2008-12-02 |
| Street Address |
47 WHITTIER DR |
| City | MASTIC BEACH |
| State | NY |
| Zip Code | 11951-5110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689173577 | Diana Perreco | Licensed Practical Nurse | 47 Montauk Dr, Mastic Beach, NY 11951 | 2018-02-06 |
| 1366832321 | Taylor Viggers | Specialist/Technologist | Tangier Smith Elementary School, 336 Blanco Drive, Mastic Beach, NY 11951 | 2015-01-29 |
| 1497159735 | Fabiola Reid | Counselor | 834 A East Main Street, Center Moriches, NY 11951 | 2014-10-15 |
| 1548674906 | Jacqueline D Searing | Local Education Agency (LEA) | 240 Mastic Beach Road, Mastic Beach, NY 11951 | 2014-06-13 |
| 1275890659 | Shaquana Marie Williams | Nurse's Aide | 143 Huntington Dr, Mastic Beach, NY 11951 | 2012-04-23 |
| 1790912889 | Mariann Cali | Developmental Therapist | 215 Laurelton Drive, Mastic Beach, NY 11951 | 2009-06-16 |
| 1225495518 | Steven Zore | Acupuncturist | 279 Madison St, Mastic Beach, NY 11951-1003 | 2016-01-19 |
| 1386907566 | Raven Guy | Licensed Practical Nurse | 530 Mastic Rd, Mastic Beach, NY 11951-1012 | 2012-06-21 |
| 1790384410 | Gina Siracusano | Specialist/Technologist | 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020 | 2020-10-23 |
| 1134429939 | Natalie Beth Gieser | Speech-Language Pathologist | 338 Blanco Dr, Mastic Beach, NY 11951-1021 | 2010-10-26 |
| Find all providers in zip 11951 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102994 | Jennifer Bryant | Licensed Practical Nurse | 30 Parkwood Dr, Mastic Beach, NY 11951-3202 | 2019-09-06 |
| 1689173577 | Diana Perreco | Licensed Practical Nurse | 47 Montauk Dr, Mastic Beach, NY 11951 | 2018-02-06 |
| 1184161663 | Linnette Susan Nappi | Licensed Practical Nurse | 50 Peeker Ave, Mastic Beach, NY 11951-1821 | 2017-01-23 |
| 1265885693 | Shahida Myles | Licensed Practical Nurse | 78 Market St, Mastic Beach, NY 11951-1219 | 2016-07-20 |
| 1124406566 | Mary Restaino | Licensed Practical Nurse | 111 Bayview Dr, Mastic Beach, NY 11951-6317 | 2015-05-18 |
| 1225439888 | Emily Frances Dammeyer | Licensed Practical Nurse | 80 Montauk Dr, Mastic Beach, NY 11951-6214 | 2014-09-14 |
| 1043622574 | Lace Amber Fuchs | Licensed Practical Nurse | 118 Cranberry Dr, Mastic Beach, NY 11951-5411 | 2014-06-02 |
| 1669895520 | Joann Jansson | Licensed Practical Nurse | 87 Huguenot Dr, Mastic Beach, NY 11951-6102 | 2014-01-29 |
| 1619307642 | Judith D'ambrosio | Licensed Practical Nurse | 105 Robinwood Dr, Mastic Beach, NY 11951-3212 | 2013-11-12 |
| 1184063125 | Ailyn Bharath | Licensed Practical Nurse | 160 Church Dr, Mastic Beach, NY 11951-1207 | 2013-06-24 |
| Find all providers in MASTIC BEACH | ||||
| City | MASTIC BEACH |
| Zip Code | 11951 |
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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.