Dawn Lee Brabaw, LPN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

674172-1 Issued in NY

Practice address

6258 US Highway 11
Lot 38
Canton, NY 13617-3926

Phone

(315) 386-3186

NPI assigned

May 4, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962794396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 HAMILTON ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "13669",
            "telephone_number": "315-541-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6258 US HIGHWAY 11",
            "address_2": "LOT 38",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136173926",
            "telephone_number": "315-386-3186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Selleck Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NY",
            "postal_code": "136173295",
            "country_code": "US",
            "telephone_number": "315-244-3868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRABAW",
        "first_name": "DAWN",
        "middle_name": "LEE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "290555-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "674172-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962794396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Elizabeth Bonno, RN
• Kaileigh Bonno, FNP-C
• Jennifer K Bourdette
• Brian Eric Boutilier
• Jacqueline Joyce Brabant, CRNA
• Haley Ann Brandes, PHARM D
• Kiri Pryjma Brandy, M.D.
• Danielle C. Brining-Plumadore, LMSW
• Susan E Britton, RN
• Derek Brown, PTA

• All providers in Canton, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.