JESSICA MEDRANDA (NPI# 1669911855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669911855 |
| Entity Type | Individual |
| Full Name | JESSICA MEDRANDA |
| Credential | RN |
| Practice Address |
503 Grasslands Rd Valhalla NY 10595-1503 |
| Mailing Address |
36 Vredenburgh Street 2 Yonkers NY 10704 |
| Practice Telephone | 9145930593 |
| Mailing Telephone | 9148193565 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 696892-1 | NY | Nursing Service Providers |
| Street Address |
503 GRASSLANDS RD |
| City | VALHALLA |
| State | NY |
| Zip Code | 10595-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154320174 | Marcia J Nackenson | Pediatrics | 503 Grasslands Rd, Ste. 200, Valhalla, NY 10595-1503 | 2005-07-20 |
| 1972117851 | Cynthia Marie Quijano | Speech-Language Pathologist | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2020-09-08 |
| 1538783394 | Carla Michelle Byrd | Specialist | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2020-06-07 |
| 1205318045 | Tamara Araceli Cervantes | Case Manager/Care Coordinator | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2018-08-29 |
| 1972095545 | Denise Lopez | Occupational Therapy Assistant | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2018-05-30 |
| 1629570155 | Hannah Zetlin Wong | Nurse Practitioner | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2018-02-28 |
| 1821597303 | Marie Pavia | Specialist | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2018-02-09 |
| 1265951321 | Caitlin Rose King | Speech-Language Pathologist | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2017-09-11 |
| 1639604226 | Sabina Mary Mathew | Nurse Practitioner | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2017-04-21 |
| 1134668478 | Jessica Askar | Nurse Practitioner | 503 Grasslands Rd, Suite 200, Valhalla, NY 10595-1503 | 2017-02-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126946 | Evan Alexander Formosa | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottege Road, New York Medical College Student Affairs Suite 122a, Valhalla, NY 10595 | 2020-02-18 |
| 1124673223 | Mozibur Rahman | Student in an Organized Health Care Education/Training Program | C/o Pathology, 100 Woods Rd, Valhalla, NY 10595 | 2019-08-06 |
| 1235650243 | Ana Karla F Arias | Psychologist | 503 Grasslands Roas, Suite 101, Valhalla, NY 10595 | 2017-06-29 |
| 1336682327 | Adriana Josandy Arias | Case Manager/Care Coordinator | 503 Grasslands Rd, Suite 101, Valhalla, NY 10595 | 2016-11-23 |
| 1740632934 | Philippe Hoffmann | Counselor | 1700 Old Orchard, Valhalla, NY 10595 | 2016-07-12 |
| 1396195020 | Elizabeth Hendricks | Social Worker | 1700 Old Orchard St, Valhalla, NY 10595 | 2016-06-14 |
| 1427437771 | Stephany Rodriguez | Case Manager/Care Coordinator | 503 Grasslands Road, Suite 101, Valhala, NY 10595 | 2015-05-20 |
| 1437536182 | Shajiuddin Faraz Mohammed | Psychiatry & Neurology | 100 Woods Road Behavioral Health Center Suite-n314, Westchester Medical Center, Department of Psychiatry, Valhalla, NY 10595 | 2015-05-01 |
| 1841685013 | Barbara Constantine | Physical Therapist | 70 Colubus Ave., Valhalla, NY 10595 | 2015-04-03 |
| 1316330418 | Victor Tseng | Anesthesiology | 100 Woods Rd Rm D-228, Valhalla, NY 10595 | 2015-03-12 |
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| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849098 | Erika Pennini | Registered Nurse | 21 Greenwood Ln, Valhalla, NY 10595-1110 | 2020-10-23 |
| 1376174102 | Yolanda Carley | Registered Nurse | 115 E Stevens Ave Ste 1, Valhalla, NY 10595-1270 | 2020-01-30 |
| 1043559339 | Maria Belen Maccio | Registered Nurse | 75 Grasslands Rd, Valhalla, NY 10595-1550 | 2013-02-06 |
| 1801128053 | Kyungae Kim | Registered Nurse | 100 Woods Ave, Westchester Medical Center-behavior Health Center, Valhalla, NY 10595 | 2010-02-12 |
| 1386973907 | Deborah Sperrazza | Registered Nurse | 65 Grasslands Rd, Valhalla, NY 10595-1543 | 2009-12-10 |
| 1184950909 | Evangelina Bancks I | Registered Nurse | 33 N Kensico Ave, Valhalla, NY 10595-1919 | 2009-10-29 |
| 1720285083 | Virginia Paula Andriola V | Registered Nurse | 21 Fountain Dr, 901 Knollwood Road Greenburgh New York, Valhalla, NY 10595-1433 | 2007-06-29 |
| 1578199634 | Katherine Somefun | Registered Nurse | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-03-19 |
| 1699135038 | Caitlin S Ciallella | Registered Nurse | 100 Woods Rd, Valhalla, NY 10595-1530 | 2016-02-27 |
| 1750763645 | Kristine Boyer | Registered Nurse | 100 Woods Rd., Valhalla, NY 10595 | 2015-06-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.