Individual provider Active NPI

Lenny Maranzano, RN

  • Registered Nurse
  • Dallas, TX
National Provider Identifier
1730793035
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN163126 Issued in AZ
Practice address
4099 McEwen Rd Ste 200
Dallas, TX 75244-5050
Phone
(623) 296-8857
NPI assigned
Sep 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN163126 AZ Primary

Addresses

Primary practice location

4099 McEwen Rd Ste 200
Dallas, TX 75244-5050

Mailing address

2355 Thomas Ave Apt 2302
Dallas, TX 75201-5427
Phone (623) 296-8857

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lenny.maranzano@gmr.net

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN163126AZMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1730793035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 THOMAS AVE APT 2302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752015427",
            "telephone_number": "623-296-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 MCEWEN RD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445050",
            "telephone_number": "623-296-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANZANO",
        "first_name": "LENNY",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN163126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lenny.maranzano@gmr.net",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "4099 McEwen Rd Ste 200",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752445050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.