Medi-NP, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

003749 Issued in CT

Legal business name

MEDI-NP, LLC

Practice address

25 Hidden Pines Cir
Meriden, CT 06451-2212

Phone

(203) 535-9741

NPI assigned

Sep 18, 2015

Organization subpart

No

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

Authorized official

Name

Jennifer Remigio-MandacNPI 1285809319

Title

Aprn

Phone

(203) 535-9741

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Remigio Mandac, APRN

  • Family Nurse Practitioner
  • Shelton, CT
  • NPI 1285809319
  Medicare reassignment Authorized official
• Manuel Mandac

  • Gerontology Nurse Practitioner
  • Meriden, CT
  • NPI 1881193043
  Medicare reassignment NPD
• Cliff R Drechsler-Martell, MD

  • Family Medicine Physician
  • Middletown, CT
  • NPI 1770558108
  NPD (past)

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1629447727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIDDEN PINES CIR",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512212",
            "telephone_number": "203-535-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIDDEN PINES CIR",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512212",
            "telephone_number": "203-535-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "REMIGIO-MANDAC",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "203-535-9741"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "003749",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "003749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin D McMahon, MD
• Hannah McMullen, PA-C
• Rachelle McQuade, BCBA
• Nicole Elizabeth McWain, PSYD
• Medexpress Urgent Care Connecticut, P.C.
• Medical Oncology & Hematology PC
• Kelly Ann Meenan
• Dora Meiners, RN
• Ashleigh K Melchionno, LCSW
• Amie A Melillo, LCSW

• Family Nurse Practitioner in Meriden, CT
• Providers in Meriden, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.