DECARRA D BRISTOW LPN
NPI 1033745203
Licensed Practical Nurse in Rochester, NY

Q: What is Decarra Bristow's NPI number?

The NPI number for Decarra Bristow is 1033745203. It was assigned to this individual provider in the NPPES registry on March 19, 2020.

Q: What is Decarra Bristow's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Decarra Bristow was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 19, 2020

3896 DEWEY AVE # 142, ROCHESTER, NY 14616(585) 736-0585 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Decarra D Bristow Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DECARRA D BRISTOW LPN (NPI 1033745203) is an individual licensed practical nurse in Rochester, New York, licensed in New York (337747) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1033745203

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameDECARRA D BRISTOWCredential: LPN

Location Address3896 DEWEY AVE # 142Rochester, NY 14616-2527

Mailing Address3896 Dewey Ave # 142Rochester, NY 14616-2527 · (585) 736-0585

Phone(585) 736-0585

Sole ProprietorYes

Enumeration DateMarch 19, 2020

NPPES CertifiedMarch 19, 2020

✔ NPI 1033745203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 337747

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3896 DEWEY AVE # 142, Rochester, NY 14616

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Decarra Bristow's NPI number?

The NPI number for Decarra Bristow is 1033745203. It was assigned to this individual provider in the NPPES registry on March 19, 2020.

Where is Decarra Bristow located?

Decarra Bristow practices at 3896 Dewey Ave # 142, Rochester, NY 14616. The listed phone number is (585) 736-0585.

What is Decarra Bristow's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Decarra Bristow was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.