Brenda Williams Maccio, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F333953-1 Issued in NY

Practice address

411 Main St
Catskill, NY 12414-1363

Phone

(518) 719-3580

NPI assigned

Apr 26, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1861719205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MAIN ST",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141363",
            "telephone_number": "518-719-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAIN ST",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141363",
            "telephone_number": "518-719-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCIO",
        "first_name": "BRENDA",
        "middle_name": "WILLIAMS",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333953-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Long, FNP
• Shantilal Lunia, MD
• Mary Alexis Lupoli, R.D., CDN
• Diane Luther, HHA
• Marisa Luvera
• Juliana Machado
• Richard E. Madden, L.C.S.W.
• David Mademann, D.C.
• Carina Charlotte Madzelan
• Amy A Mahoney, L.AC

• Family Nurse Practitioner in Catskill, NY
• Providers in Catskill, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.