Organization Active NPI

Renewed Health, LLC

  • Primary Care Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1013630201
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
RENEWED HEALTH, LLC
Practice address
1011 Hioaks Rd Ste D
Richmond, VA 23225-4040
Phone
(804) 905-6998
Fax
(804) 404-9149
NPI assigned
Sep 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Nicole ColeNPI 1538604210
Title
Owner
Phone
(804) 503-6999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1011 Hioaks Rd Ste D
Richmond, VA 23225-4040

Mailing address

1011 Hioaks Rd Ste D
Richmond, VA 23225-4040
Phone (804) 905-6998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220927001500 VA Part B Supplier - Clinic/Group Practice 5597141689 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

8503 Patterson Ave
Ste F
Richmond, VA 23229
Phone (804) 503-6999

8503 Patterson Ave
Ste G
Richmond, VA 23229
Phone (804) 740-7281

2807 N Parham Rd
Ste 240
Richmond, VA 23294
Phone (804) 905-6998

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1013630201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 HIOAKS RD STE D",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254040",
            "telephone_number": "804-905-6998",
            "fax_number": "804-404-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 HIOAKS RD STE D",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254040",
            "telephone_number": "804-905-6998",
            "fax_number": "804-404-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-503-6999"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.