Brenda Joyce Pfost, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

120783-1 Issued in NY

Practice address

9 Storz PL
Lindenhurst, NY 11757-4326

Phone

(631) 888-2988

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Brenda Joyce Tanner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093835787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 STORZ PL",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574326",
            "telephone_number": "631-888-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 STORZ PL",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574326",
            "telephone_number": "631-888-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFOST",
        "first_name": "BRENDA",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "120783-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01300352",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "TANNER",
            "middle_name": "JOYCE",
            "prefix": "MISS",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keri A Penta, R.N.
• Dana Perdomo
• Alexis Perdue
• Steve Perino
• Andrea Peruggia
• Jayme Phillips
• Sandra Lynn Ploth, RN
• Julia PO, M.D.
• Grace Polanco
• Joseph Portnoy, DDS

• Licensed Practical Nurse in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.