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MS. RENEE JODELLE PRADDY NP
NPI 1033707732
Nurse Practitioner - Family in Queens Village, NY

Active since January 07, 2021
22002 108TH AVE, QUEENS VILLAGE, NY 11429(718) 812-8494 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Renee Jodelle Praddy Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. RENEE JODELLE PRADDY NP (NPI 1033707732) is an individual family provider in Queens Village, New York, licensed in New York (346030) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1033707732
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. RENEE JODELLE PRADDYCredential: NP
Location Address22002 108TH AVEQueens Village, NY 11429-2437
Mailing Address22002 108th AveQueens Village, NY 11429-2437 · (718) 812-8494
Phone(718) 812-8494
Sole ProprietorYes
Enumeration DateJanuary 7, 2021
NPPES CertifiedJanuary 7, 2021
✔ NPI 1033707732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 346030
22002 108TH AVE, Queens Village, NY 11429
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renee Praddy's NPI number?

The NPI number for Renee Praddy is 1033707732. It was assigned to this individual provider in the NPPES registry on January 7, 2021.

Where is Renee Praddy located?

Renee Praddy practices at 22002 108th Ave, Queens Village, NY 11429. The listed phone number is (718) 812-8494.

What is Renee Praddy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Renee Praddy was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.