NICODEE SIMONE GRAY-BROOKS (NPI# 1710540554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710540554 |
| Entity Type | Individual |
| Full Name | NICODEE SIMONE GRAY-BROOKS |
| Practice Address |
153 Stevens Ave Mount Vernon NY 10550-2543 |
| Mailing Address |
29 Adamson Ave Norwalk CT 06854-4601 |
| Practice Telephone | 9146688080 |
| Mailing Telephone | 9145138684 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
344329 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
153 STEVENS AVE |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10550-2543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922068071 | Nadereh Rafat | Specialist | 153 Stevens Ave, Suite 5, Mount Vernon, NY 10550-2543 | 2006-03-24 |
| 1760880017 | Carmen L Mendez | Nurse Practitioner | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2014-12-18 |
| 1407250624 | Mount Vernon Medical Practice | Clinic/Center | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2014-10-17 |
| 1841565389 | Nadereh Rafat, M.d.p.c. | Clinic/Center | 153 Stevens Ave, Suite # 5, Mount Vernon, NY 10550-2597 | 2012-03-16 |
| 1326316258 | Rosemarie Russell | Nurse Practitioner | 153 Stevens Ave, Mount Vernon, NY 10550-2543 | 2011-12-06 |
| 1740596741 | Mount Vernon Medical Practice | General Practice | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2010-08-27 |
| 1740596451 | Antoinette Yvette Frussinetty | Nurse Practitioner | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2010-08-19 |
| 1417180845 | A Step Ahead Foot Care, PC | Orthopaedic Surgery | 153 Stevens Ave, Suite # 5, Mount Vernon, NY 10550-2543 | 2009-09-02 |
| 1043447808 | Christopher Adubor Physician PC | Internal Medicine | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2009-06-18 |
| 1851569891 | Vanessa Gail Buot | Internal Medicine | 153 Stevens Ave, #4, Mount Vernon, NY 10550-2543 | 2008-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
| 1023529369 | B.t.m. Psychiatric Np Services, Pllc | Nurse Practitioner | 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 | 2017-10-13 |
| 1669994174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 500 E Sanford Blvd, Mount Vernon, NY 10550 | 2017-07-17 |
| 1053869198 | Teresa Turriago I | Social Worker | 487 S. Broadway, Yonkers, New York, NY 10550 | 2016-09-19 |
| 1811340862 | Marcia Samuels Nembhard | Licensed Practical Nurse | 1 Gray Place Apt 4-d, Mount Vernon, NY 10550 | 2016-07-14 |
| 1043665318 | Marshalee Mullings | Registered Nurse | 70 E 4th Street, 2c, Mount Vernon, NY 10550 | 2016-04-25 |
| 1518333228 | Humanities Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 100 Stevens Avenue, Mount Vernon, NY 10550 | 2015-08-17 |
| 1851779458 | Maila Catolico | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-05-14 |
| 1003203266 | Priscilla A. Severe | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-04-24 |
| 1477963254 | Imani Ife Campbell | Licensed Practical Nurse | 323 South 10th Ave, Mt. Vernon, NY 10550 | 2014-05-02 |
| Find all providers in zip 10550 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421066 | Amantha Theodore | Nurse Practitioner | 531 E Lincoln Ave Apt 4n, Mount Vernon, NY 10552-3743 | 2020-09-15 |
| 1093320392 | Ryan Michael Winder | Nurse Practitioner | 615 A Ave Se, Mount Vernon, IA 52314-1532 | 2020-09-14 |
| 1154969103 | Sarah Jacqueline Lim-dwyer | Nurse Practitioner | 1400 East Kincaid Street, Mount Vernon, WA 98274-4127 | 2019-12-19 |
| 1306481056 | Julie Marie Forbes-laborde | Nurse Practitioner | 27 Beekman Ave Apt 2, Mount Vernon, NY 10553-1491 | 2019-11-15 |
| 1447819305 | Gladys E Aideyan | Nurse Practitioner | 130 Stuyvesant Plz, Mount Vernon, NY 10552-1413 | 2019-06-13 |
| 1417467929 | Shernette T Suer | Nurse Practitioner | 105 Stevens Ave Ste 506, Mount Vernon, NY 10550-2683 | 2017-10-10 |
| 1194254946 | Amy Haibel | Nurse Practitioner | 206 S Mulberry St Ste B, Mount Vernon, OH 43050-3331 | 2017-06-06 |
| 1699216697 | Diana Mcnear | Nurse Practitioner | 421 S 3rd Ave, Mount Vernon, NY 10550-4507 | 2017-03-10 |
| 1598200867 | Vivienne Iona Bartley | Nurse Practitioner | 115 Primrose Avenue, Mount Vernon, NY 10552 | 2016-12-22 |
| 1144772955 | Tahiesha Tolbert | Nurse Practitioner | 153 Stevens Ave Ste 4, Mount Vernon, NY 10550-2543 | 2016-10-27 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 10550 |
Please comment or provide details below to improve the information on NICODEE SIMONE GRAY-BROOKS.
| 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.