Abigail K Brizan-Melbourne, SPECIAL ED - INITIAL

Primary specialty

SpecialistTaxonomy code 174400000X

License

884959 Issued in NY

Practice address

12218 Benton St
Springfield Gardens, NY 11413-1051

Phone

(347) 423-5326

NPI assigned

Jul 17, 2014

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": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1902213309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12218 BENTON ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114131051",
            "telephone_number": "347-423-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12218 BENTON ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114131051",
            "telephone_number": "347-423-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZAN-MELBOURNE",
        "first_name": "ABIGAIL",
        "middle_name": "K",
        "credential": "SPECIAL ED - INITIAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "884959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Berthil
• Arnold Bing I
• Fabian Blackman
• Mary Boladalejohnson
• Sasha-Keene Bramwell
• Doretha Clara Brown-Simpson, ED. D.
• Keisha Brown, CNA
• Donna Bunche, OT
• Shonaa A Burnett, RN
• Michael Burton

• Specialist in Springfield Gardens, NY
• Providers in Springfield Gardens, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.