Reena Pushpangadan, R.N., J.D.

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

RN-505559L Issued in PA

Practice address

310 Cross St
Philadelphia, PA 19147-6509

Phone

(215) 767-4188

NPI assigned

Mar 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Reena Pushpangadan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1043670102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CROSS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191476509",
            "telephone_number": "215-767-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CROSS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191476509",
            "telephone_number": "215-767-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSHPANGADAN",
        "first_name": "REENA",
        "credential": "R.N., J.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "PA",
            "license": "RN-505559L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REENA",
            "last_name": "PUSHPANGADAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Joseph Purtill, M.D.
• Caitlin Purves
• Lauren Ashley Purvis, LPC
• Markeitia Purvis, RN
• Tyler Puryear
• Anne Puthettu
• Suraj Vishaskha Puttanniah, MD
• William B. Putterman, O.D.
• Patrycja Puzio, CCC-SLP
• Alissa Rafaella Puzo, MD

• Critical Care Medicine Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Critical Care Medicine Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.