JERDENE BACHUS
NPI 1124756515
Specialist in Plainview, NY

Active since August 12, 2022
255 EXECUTIVE DR, PLAINVIEW, NY 11803(347) 965-4381 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerdene Bachus NPPES

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

JERDENE BACHUS (NPI 1124756515) is an individual specialist in Plainview, New York and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1124756515
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJERDENE BACHUS
Location Address255 EXECUTIVE DRPlainview, NY 11803-1718
Mailing Address13824 232nd StLaurelton, NY 11413-2837
Sole ProprietorNo
Enumeration DateAugust 12, 2022
NPPES CertifiedAugust 12, 2022
NPI 1124756515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
255 EXECUTIVE DR, Plainview, NY 11803

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Early Intervention Provider Agency
255 EXECUTIVE DR
PLAINVIEW, NY 11803
Specialist
255 EXECUTIVE DR, SUITE LL 105/108
PLAINVIEW, NY 11803
Speech-Language Pathologist
255 EXECUTIVE DR
PLAINVIEW, NY 11803
Specialist
255 EXECUTIVE DR
PLAINVIEW, NY 11803
Specialist
255 EXECUTIVE DR
PLAINVIEW, NY 11803
Occupational Therapist
255 EXECUTIVE DR, LL-108
PLAINVIEW, NY 11803
Specialist
255 EXECUTIVE DR
PLAINVIEW, NY 11803
Specialist
255 EXECUTIVE DR
PLAINVIEW, NY 11803

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 Jerdene Bachus's NPI number?

The NPI number for Jerdene Bachus is 1124756515. It was assigned to this individual provider in the NPPES registry on August 12, 2022.

Where is Jerdene Bachus located?

Jerdene Bachus practices at 255 Executive Dr, Plainview, NY 11803. The listed phone number is (347) 965-4381.

What is Jerdene Bachus's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jerdene Bachus was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.