Gabriela Renna, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

22617900 Issued in NY

Practice address

2525 Mt Hope Rd
Otisville, NY 10963-2333

Phone

(845) 355-5854

NPI assigned

Dec 20, 2011

Last updated

Dec 20, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1235408303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 MT HOPE RD",
            "city": "OTISVILLE",
            "state": "NY",
            "postal_code": "109632333",
            "telephone_number": "845-355-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 MT HOPE RD",
            "city": "OTISVILLE",
            "state": "NY",
            "postal_code": "109632333",
            "telephone_number": "845-355-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNA",
        "first_name": "GABRIELA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22617900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashante Lewis
• Karissa Mercado, LMHC
• Tracy Moore
• Joan Marie Muino
• Otisville Mt. Hope Volunteer Ambulance
• Megan Rivera
• Courtney Jean Rosen
• Social Day Journeys, LLC
• Ann Christine Thompson, ANP
• Dale E Touw, FNP

• Registered Nurse in Otisville, NY
• Providers in Otisville, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.