Brynne Marie Maietta, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

297804 Issued in NY

Practice address

313 Grape Hollow Rd
Holmes, NY 12531-5420

Phone

(845) 214-3486

NPI assigned

Feb 15, 2013

Last updated

Feb 15, 2013By the provider in NPPES

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": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1326388174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 GRAPE HOLLOW RD",
            "city": "HOLMES",
            "state": "NY",
            "postal_code": "125315420",
            "telephone_number": "845-214-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 GRAPE HOLLOW RD",
            "city": "HOLMES",
            "state": "NY",
            "postal_code": "125315420",
            "telephone_number": "845-214-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIETTA",
        "first_name": "BRYNNE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "297804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erma Hall-Crowley
• Amanda C Hetherington, COTA
• Nancy Ellen Iankowitz, DNP, FNP-BC
• KNH Partners (Putnam Nursing and Rehabilitation Center)
• Debra Sue Larocchia, LCSW
• Ramza Shahid Malik, DO
• Nancy J Matteo, LPN
• Robin Marie Meyers
• Zane A Miranda, MD
• Karen Julia Montagna, TSHH, MLS

• Licensed Practical Nurse in Holmes, NY
• Providers in Holmes, 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 Feb 15, 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.