Active NPI
Martha Olinda Medranda, R.N
- School Registered Nurse
- Bronx, NY
National Provider Identifier
1013284090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 646137-1
- Practice address
- 4547 Carpenter Ave
2ND FL
Bronx, NY 10470-1426 - Phone
- (914) 320-0475
- NPI assigned
- Nov 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 646137-1 | NY | Primary |
Addresses
Primary practice location
4547 Carpenter Ave
2ND FL
Bronx, NY 10470-1426
Mailing address
4547 Carpenter Ave
2ND FL
Bronx, NY 10470-1426
Phone (914) 320-0475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 646137-1 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321660800000",
"number": "1013284090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4547 CARPENTER AVE",
"address_2": "2ND FL",
"city": "BRONX",
"state": "NY",
"postal_code": "104701426",
"telephone_number": "914-320-0475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4547 CARPENTER AVE",
"address_2": "2ND FL",
"city": "BRONX",
"state": "NY",
"postal_code": "104701426",
"telephone_number": "914-320-0475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDRANDA",
"first_name": "MARTHA",
"middle_name": "OLINDA",
"credential": "R.N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-19",
"last_updated": "2011-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "646137-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.