Active NPI
Ericka Margaret Redondo
- Nurse Practitioner
- Reno, NV
National Provider Identifier
1033091731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 887840
- Practice address
- 30 Mary St Ste 14
Reno, NV 89509-2865 - Phone
- (775) 954-0067
- NPI assigned
- Jul 23, 2025
- Last updated
- Jul 23, 2025
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 887840 | NV | Primary |
Addresses
Primary practice location
30 Mary St Ste 14
Reno, NV 89509-2865
Mailing address
30 Mary St Ste 14
Reno, NV 89509-2865
Phone (775) 954-0067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 13, 2026 through Mar 13, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 887840 | NV | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1033091731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MARY ST STE 14",
"city": "RENO",
"state": "NV",
"postal_code": "895092865",
"telephone_number": "775-954-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MARY ST STE 14",
"city": "RENO",
"state": "NV",
"postal_code": "895092865",
"telephone_number": "775-954-0067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDONDO",
"first_name": "ERICKA",
"middle_name": "MARGARET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-23",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "887840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.