Luckna Valery Brizard, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

291320-1 Issued in NY

Practice address

7 Capt Shankey Dr
Garnerville, NY 10923-1326

Phone

(845) 429-4347

NPI assigned

Nov 26, 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

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": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1124209762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 FLETCHER RD APT C",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523233",
            "telephone_number": "845-825-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CAPT SHANKEY DR",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109231326",
            "telephone_number": "845-429-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZARD",
        "first_name": "LUCKNA",
        "middle_name": "VALERY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "291320-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelynn Bowen, RN
• Meghan Lynn Brassfield, MSED
• Bradley Deane Breeding, RPH
• Erica Brentnall
• Carolyn J Breuer, PH.D.
• Madriana T Candelario, RN
• Patricia Ann Carrig
• Robert Chen, MD
• Citywide Homecare Management Corp.
• Daniel Harold Cohen, MD

• All providers in Garnerville, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.