MRS. MARY COLLEEN BRACKEN (NPI# 1376505099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376505099 |
| Entity Type | Individual |
| Full Name | MRS. MARY COLLEEN BRACKEN |
| Credential | A.N.P. |
| Practice Address |
4979 Harlem Rd Amherst NY 14226-2547 |
| Practice Telephone | 7169234380 |
| Practice Fax Number | 7169234384 |
| Mailing Telephone | 7169234380 |
| Mailing Fax Number | 7169234384 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2013-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F303660 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | INDEPENDENT HEALTH | 9512547 | 01 |
| NM | EMPIRE | 166192295 | 01 |
| NY | BLUE CROSS | 000560845003 | 01 |
| NY | UNIVERA | 00026705402 | 01 |
| NY | COMMUNITY BLUE | 000560845003 | 01 |
| NY | RAILROAD MEDICARE | 060065956 | 01 |
| NY | GHI | 166192295 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841498680 | Mary Elizabeth Bracken | Internal Medicine | 2015 Martins Grant Ct, Crownsville, MD 21032 | 2007-07-03 |
| Street Address |
4979 HARLEM RD |
| City | AMHERST |
| State | NY |
| Zip Code | 14226-2547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942297122 | John Bauers | Internal Medicine | 4979 Harlem Rd, Suite 1, Amherst, NY 14226-2547 | 2005-10-03 |
| 1174124333 | Shellee Anne Lusung Quaglia | Nurse Practitioner | 4979 Harlem Rd, Amherst, NY 14226-2547 | 2020-11-04 |
| 1851902290 | Elena Kalabushkina | Nurse Practitioner | 4979 Harlem Rd, Amherst, NY 14226-2547 | 2020-08-10 |
| 1336770718 | Maxwell Boasiako Antwi | Nurse Practitioner | 4979 Harlem Rd, Amherst, NY 14226-2547 | 2020-02-04 |
| 1780246777 | Wny Medical PC - Care Management | Registered Nurse | 4979 Harlem Rd, Amherst, NY 14226-2547 | 2019-07-01 |
| 1063970747 | Nancy Kawecki | Nurse Practitioner | 4979 Harlem Rd, Amherst, NY 14226-2547 | 2019-03-12 |
| 1689150690 | Chanda Sadiq | Physician Assistant | 4979 Harlem Rd, Amherst, NY 14226-2547 | 2018-07-12 |
| 1669966065 | Shelley Mae Bacon | Nurse Practitioner | 4979 Harlem Rd, Amherst, NY 14226-2547 | 2018-06-19 |
| 1740708460 | Jill M Ector | Nurse Practitioner | 4979 Harlem Rd, Amherst, NY 14226-2547 | 2017-09-01 |
| 1639528458 | Melitta Mendonca | Physician Assistant | 4979 Harlem Rd, Amherst, NY 14226-2547 | 2016-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
| 1942846209 | Anthony Constance | Occupational Therapist | Excelsior Orthopaedics, 3925 Sheridan Drive, Amherst, NY 14226 | 2019-11-21 |
| 1730743931 | Mark Marcello | Physical Therapy Assistant | 4498 Main/harlem Rd Suite 24, Amherst, NY 14226 | 2019-04-24 |
| 1528531084 | Kimberly Girdlestone | Social Worker | 3960 Harlem Road, Suite 6b, Buffalo, NY 14226 | 2019-01-08 |
| 1043781503 | Justin Patrick Nelson | Physical Therapist | 4498 Main St. Suite 24, Amherst, NY 14226 | 2018-12-10 |
| 1962979195 | Meghan Jim Dougher | Student in an Organized Health Care Education/Training Program | 167 Darwin Dr., Snyder, NY 14226 | 2018-10-25 |
| 1790260982 | Orchard Park Dentalcare Pllc | Clinic/Center | 3302 Sheridan Dr, Buffalo, NY 14226 | 2018-10-03 |
| 1619472719 | Rapha Family Medical Wellness PC | Family Medicine | 3610 Main Street, Amherst, NY 14226 | 2018-03-29 |
| 1790299832 | Medical Ecp of Western New York P C | Internal Medicine | 4330 Maple Rd Ste 102, Amherst, NY 14226 | 2017-11-28 |
| 1841709425 | Elisabeth Wagner | Physical Therapy Assistant | 4498 Main St., Suite 24, Amherst, NY 14226 | 2017-09-26 |
| Find all providers in zip 14226 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154865210 | Brooke E Adams | Nurse Practitioner | 3320 N. Benzing Road, Amherst, NY 14226-2547 | 2016-12-08 |
| 1780939199 | Kathleen Anne Humphrey | Nurse Practitioner | 144 Walton Dr, Amherst, NY 14226-4832 | 2012-07-23 |
| 1962732792 | Magdalene Shuser Tukov | Nurse Practitioner | 4979 Harlem Road, Amherst, NY 14228 | 2009-12-29 |
| 1922234582 | Katherine Marie Carletta | Nurse Practitioner | 113 Chateau Ter, Amherst, NY 14226-3929 | 2009-06-09 |
| 1275755324 | Wright & Associates Family Healthcare, Pllc | Nurse Practitioner | Liberty Park Units 9 and 10, 282 Route 101, Amherst, NH 03031 | 2007-05-02 |
| 1780770024 | Ellen B Battista | Nurse Practitioner | 646 N French Rd Ste 7, Amherst, NY 14228-2100 | 2006-10-05 |
| 1831103258 | Linda Ann Taylor Nurse Practitioner Adult Health PC | Nurse Practitioner | 1408 Sweet Home Rd, Suite 5, Amherst, NY 14228 | 2006-07-28 |
| 1194772012 | Kathleen F Cosgrove-drury | Nurse Practitioner | 19 Ivy Green Ct, Amherst, NY 14226-3525 | 2006-05-27 |
| 1841272358 | Linda A Goodman | Nurse Practitioner | 170 University Drive Sleep Medicine Services, Amherst, MA 01002 | 2005-11-18 |
| 1669464707 | Ann Marie H Macisaac | Nurse Practitioner | 3140 Sheridan Dr., Suite 201, Amherst, NY 14226 | 2005-08-16 |
| Find all providers in AMHERST | ||||
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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.