Active NPI
Marcella M. Rice, ANP-C
- Adult Health Nurse Practitioner
- Albany, NY
National Provider Identifier
1205922804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F300604
- Practice address
- 400 Patroon Creek Blvd
Suite 100
Albany, NY 12206-5014 - Phone
- (518) 445-4340
- Fax
- (518) 445-4360
- NPI assigned
- Oct 4, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F300604 | NY | Primary |
Addresses
Primary practice location
400 Patroon Creek Blvd
Suite 100
Albany, NY 12206-5014
Mailing address
400 Patroon Creek Blvd
Suite 100
Albany, NY 12206-5014
Phone (518) 445-4340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02251861 | Medicaid | NY |
Other names 1
- Jenila Rice-Manderville
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F300604 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1205922804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 PATROON CREEK BLVD",
"address_2": "SUITE 100",
"city": "ALBANY",
"state": "NY",
"postal_code": "122065014",
"telephone_number": "518-445-4340",
"fax_number": "518-445-4360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PATROON CREEK BLVD",
"address_2": "SUITE 100",
"city": "ALBANY",
"state": "NY",
"postal_code": "122065014",
"telephone_number": "518-445-4340",
"fax_number": "518-445-4360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE",
"first_name": "MARCELLA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "ANP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F300604",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02251861",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENILA",
"last_name": "RICE-MANDERVILLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.