Individual provider Active NPI

Raquel Maldonado, RNC

  • Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1164564878
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F4200371 Issued in NY
Practice address
175 Tarrytown Road
Planned Parenthood Human Resource Office
White Plains, NY 10607-1616
Phone
(914) 761-6566
Fax
(914) 948-0010
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F4200371 NY Primary

Addresses

Primary practice location

175 Tarrytown Road
Planned Parenthood Human Resource Office
White Plains, NY 10607-1616

Mailing address

6 Cedar Lane
Thiells, NY 10984-1211
Phone (845) 947-1715

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

State licenses

LicenseStateTypeSpecialty
F4200371NYMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164564878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CEDAR LANE",
            "city": "THIELLS",
            "state": "NY",
            "postal_code": "109841211",
            "telephone_number": "845-947-1715",
            "fax_number": "845-429-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 TARRYTOWN ROAD",
            "address_2": "PLANNED PARENTHOOD HUMAN RESOURCE OFFICE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071616",
            "telephone_number": "914-761-6566",
            "fax_number": "914-948-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "RAQUEL",
        "name_prefix": "Mrs.",
        "credential": "RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F4200371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.