Brenda L Kosydar, RN, BSN, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

575063 Issued in NY

Practice address

40 Arch St
Johnson City, NY 13790-2102

Phone

(607) 763-6092

Fax

(607) 763-6677

NPI assigned

Feb 2, 2010

Last updated

Feb 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Health Services Hospitals, Inc.

  • Multi-Specialty Clinic/Center
  • Johnson City, NY
  • NPI 1962463851
  NPD (past)
• United Health Services Inc

  • Diabetes Educator Registered Nurse
  • Johnson City, NY
  • NPI 1780964684
  NPD (past)

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1467784462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 GRAND AVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902580",
            "telephone_number": "607-770-0025",
            "fax_number": "607-729-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ARCH ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902102",
            "telephone_number": "607-763-6092",
            "fax_number": "607-763-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSYDAR",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "RN, BSN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "575063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlin Kocan, PA
• Devin Kincaid Koepke, LMHC
• Jasmin Kohli, MD
• John K Koniuto, PT, MSPT, DPT
• Melissa L Korosec, FNP
• Andrea Kovac, NP
• Tzvetan Borissov Kozarski, MD
• Todd M Kubesh, CRNA
• William J Kucko, DDS
• Vinita T Kukkar, MBBS

• Diabetes Educator Registered Nurse in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Diabetes Educator Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.