Istat Telemedicine Providers L.L.C.

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

Legal business name

ISTAT TELEMEDICINE PROVIDERS L.L.C.

Practice address

128 Lucca LN
Abingdon, MD 21009-1476

Phone

(202) 876-2879

NPI assigned

Nov 11, 2020

Last updated

Feb 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arddhy Bulanadi Rodriguez, CRNPNPI 1003476748

Title

Ceo

Phone

(240) 354-4087

Specialties & licenses 8

Addresses

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: arodriguez@istatproviders.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arddhy Bulanadi Rodriguez, CRNP

  • Acute Care Nurse Practitioner
  • Abingdon, MD
  • NPI 1003476748
  NPD Authorized official

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1841892197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LUCCA LN",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091476",
            "telephone_number": "240-354-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LUCCA LN",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091476",
            "telephone_number": "202-876-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISTAT TELEMEDICINE PROVIDERS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ARDDHY",
        "authorized_official_middle_name": "BULANADI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-354-4087",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arodriguez@istatproviders.com",
            "affiliation": "N",
            "endpointDescription": "Company Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "128 Lucca Ln",
            "city": "Abingdon",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210091476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Innovative MWLM LLC
• Innovative Physical Therapy and Fitness Centers LLC (Innovative Healthcare Centers)
• Insight Counseling & Consulting, LLC
• Kristen Inzinca
• Devon Isaac, CRNP
• J.D.Rowe, PC
• Laura Jackson
• Michelle Angela Jamin, DPT
• Jamoy LLC
• JDB Therapy, LLC

• Acute Care Nurse Practitioner in Abingdon, MD
• Providers in Abingdon, MD by specialty
• Acute Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.