Nickecha Redway, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F345891-01 Issued in NY

Practice address

341 Eastern Pkwy
Brooklyn, NY 11216-4857

Phone

(917) 310-3371

NPI assigned

Nov 21, 2021

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

State University of New York Downstate Medical Center, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Urgent Care of Wantagh PLLCGroup PAC ID 9234364027, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Excel Urgent Care of Wantagh PLLC

  • Urgent Care Clinic/Center
  • Wantagh, NY
  • NPI 1184067936
  Medicare reassignment Care Compare group NPD
• Hicksville Family Medical Care, PLLC

  dba Nao Medical

  • Family Medicine Physician
  • Mineola, NY
  • NPI 1770813792
  Medicare reassignment NPD
• Statcare Urgent & Walk in Medical Care PLLC

  dba Nao Medical

  • Urgent Care Clinic/Center
  • Mineola, NY
  • NPI 1336426667
  Medicare reassignment NPD

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

{
    "created_epoch": "1637452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1275290579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164857",
            "telephone_number": "917-310-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164857",
            "telephone_number": "917-310-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDWAY",
        "first_name": "NICKECHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-21",
        "last_updated": "2023-03-29",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345891-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Marie Redican-Green, M.S., BCBA
• Rediscoverkids OT, PLLC
• Ingrid Redman, CNM
• Samantha Redman
• Lisa Redmond, CASAC
• Angela Reece-Aris, LCSW
• Anneesia Ayeesha Reece-Fraser, NP
• Sena Reece-Morrison, LPN
• Carla Reece
• Jonathan Reece

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.