Registered Nurse

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

242977 Issued in NY

Legal business name

REGISTERED NURSE

Practice address

875 Morrison Ave Apt 4D
Bronx, NY 10473-4415

Phone

(718) 617-9077

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Martha Ann Kennedy

Title

Registered Nurse

Phone

(718) 617-9077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1801224936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MORRISON AVE APT 4D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104734415",
            "telephone_number": "718-617-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MORRISON AVE APT 4D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104734415",
            "telephone_number": "718-617-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGISTERED NURSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "718-617-9077"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "242977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Regis
• Ketty Regis, FNP
• Nadine Regis, M.D.
• Steve J Regis, RN
• Teresa Marie Regis
• Dinora Regman
• Sudiksha Regmi, MD
• Simon A. Rego, PSYD, ABPP, ACT
• Rehabilitation Equipment, Inc
• Rehabilitation Medicine Associates

• Registered Nurse in Bronx, NY
• Providers in Bronx, 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 Oct 29, 2013; 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.