Individual provider Active NPI

Rashaunna K Redd, DNP, MPH, CRNP, WHNP

  • Women's Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1780087718
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
421316 Issued in NY
Practice address
390 E 158TH St
Bronx, NY 10451-4466
Phone
(202) 422-8350
NPI assigned
Oct 5, 2014
Last updated
Apr 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 421316 NY Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X R187643 MD

Addresses

Primary practice location

390 E 158TH St
Bronx, NY 10451-4466

Mailing address

390 E 158TH St
Bronx, NY 10451-4466

Other practice location 1

690 N. Caroline Street
Baltimore, MD 21205-1839
Phone (202) 422-8350

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

State licenses

LicenseStateTypeSpecialty
421316NYMDWomen's Health Nurse Practitioner
R187643MDMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1412467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1780087718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 E 158TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 E 158TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514466",
            "telephone_number": "202-422-8350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 N. Caroline Street",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212051839",
            "country_code": "US",
            "telephone_number": "202-422-8350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDD",
        "first_name": "RASHAUNNA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DNP, MPH, CRNP, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-05",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421316",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": "R187643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.