KAITLIN NICHOLE MARANON CRUZ MD, MPH, MS
NPI 1407607815
Student in an Organized Health Care Education/Training Program in Memphis, TN

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 01, 2024PECOS Enrolled

920 MADISON AVE STE 447, MEMPHIS, TN 38163(901) 448-5814 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Kaitlin Nichole Maranon Cruz Md, Mph, Ms NPPES

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

KAITLIN NICHOLE MARANON CRUZ MD, MPH, MS (NPI 1407607815) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407607815

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKAITLIN NICHOLE MARANON CRUZCredential: MD, MPH, MS

Location Address920 MADISON AVE STE 447Memphis, TN 38163-3438

Mailing Address920 Madison Ave Rm 551Memphis, TN 38163-3438

Phone(901) 448-5814

Sole ProprietorNo

Enumeration DateApril 1, 2024

NPPES CertifiedApril 1, 2024

✔ NPI 1407607815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

920 MADISON AVE STE 447, Memphis, TN 38163

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlin Nichole Maranon Cruz Md, Mph, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.