Tarabeth Marie Briscoe, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

260462 Issued in NY

Practice address

20 Susan Dr
Bellport, NY 11713-2014

Phone

(631) 286-2784

NPI assigned

Sep 23, 2013

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Sep 23, 2013.

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1144656141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SUSAN DR",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132014",
            "telephone_number": "631-286-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SUSAN DR",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132014",
            "telephone_number": "631-286-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCOE",
        "first_name": "TARABETH",
        "middle_name": "MARIE",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "260462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meri Blandi, LCSW
• Tanesha Booker, RN
• Marissa Nicole Boscia-Wittekind, LMHC, CASAC
• Rachel Boykin, LPN
• Kathleen Brady, RN
• Mary Brite
• Cecilia Brock, LCSW
• Craig Brodmerkel
• Leslie Bromberg, LCSW-R
• Brookhaven Memorial Hospital Medical Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.