Active NPI
Renee Marie Worrell, MSN, CNM
- Midwife
- Trenton, MI
National Provider Identifier
1053593020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 4704193908
- Practice address
- 2275 W Jefferson Ave
Trenton, MI 48183-2114 - Phone
- (734) 675-7210
- Fax
- (734) 675-3023
- NPI assigned
- Dec 3, 2007
- Last updated
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 4704193908 | MI | Primary |
Addresses
Primary practice location
2275 W Jefferson Ave
Trenton, MI 48183-2114
Mailing address
2275 W Jefferson Ave
Trenton, MI 48183-2114
Phone (734) 675-7210
Other names 1
- Renee Marie Sisk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704193908 | MI | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashwin H Shah MD PC | Past | Accepting new patients |
Interoperability endpoints
- https://app.meldrx.com/api/fhir/uc35511_ashwinshahmd
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Monroe, MI
- NPI 1407995822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1053593020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 W JEFFERSON AVE",
"city": "TRENTON",
"state": "MI",
"postal_code": "481832114",
"telephone_number": "734-675-7210",
"fax_number": "734-675-3023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 W JEFFERSON AVE",
"city": "TRENTON",
"state": "MI",
"postal_code": "481832114",
"telephone_number": "734-675-7210",
"fax_number": "734-675-3023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORRELL",
"first_name": "RENEE",
"middle_name": "MARIE",
"credential": "MSN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MI",
"license": "4704193908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "SISK",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Trenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.