Diane Lucille Brenner, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN1934281 Issued in NY

Practice address

60 Saratoga Ave
5 20
Binghamton, NY 13903

Phone

(607) 331-9994

NPI assigned

Dec 28, 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

Other names 1

• Ms. Diane Snyder Brenner Other name

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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1932383791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 DESMOND ST",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "18840",
            "telephone_number": "570-888-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SARATOGA AVE",
            "address_2": "5 20",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13903",
            "telephone_number": "607-331-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "DIANE",
        "middle_name": "LUCILLE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "PN1934281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "BRENNER",
            "middle_name": "SNYDER",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marissa L Brauer, LMSW
• David Bray, D.M.D.
• Autumn Brendle, LCAT
• Kimberly Ann Brennan
• Melissa A Brennan, FNP
• Bridge Therapy
• Bridgewater Center for Rehabilitation & Nursing LLC
• Bridgewater CFD, LLC
• Sarah Mary Bridgman, PH.D.
• Eleanor Briggs, PMHNP-BC

• Licensed Practical Nurse in Binghamton, NY
• Providers in Binghamton, 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 Dec 28, 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.