Renew Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

RENEW DERMATOLOGY

Practice address

7325 W Deschutes Ave Ste D
Kennewick, WA 99336-6705

Phone

(509) 940-3376

NPI assigned

Sep 30, 2024

Organization subpart

No

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

Authorized official

Name

Jamesa Castilla

Title

Managing Member

Phone

(509) 940-3376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Angela Mohr, ARNP

  • Nurse Practitioner
  • Kennewick, WA
  • NPI 1982303905
  Medicare reassignment NPD

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1063230035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 W DESCHUTES AVE STE D",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366705",
            "telephone_number": "509-940-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 W DESCHUTES AVE STE D",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366705",
            "telephone_number": "509-940-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "CASTILLA",
        "authorized_official_first_name": "JAMESA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "509-940-3376"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Kay Reithmayr, LMP
• Elena Relyea
• Remedy Urgent Mobile Medicine PLLC
• Remote Diagnostic Interpreters PC
• Maria Render
• Adrianna Marlene Renteria, RN
• Araceli Renteria, PHARM. D
• Resilience Therapy, LLC
• Responding to Autism Services Inc.
• Retina & Macula Specialists PS

• Dermatology Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.