Renewed Lifestyles Inc

Primary specialty

Lithotripsy Clinic/CenterTaxonomy code 261QL0400X

Legal business name

RENEWED LIFESTYLES INC

Practice address

402 Greenbelt Dr
Maryville, TN 37804-5702

Phone

(865) 271-8241

NPI assigned

Oct 11, 2018

Organization subpart

No

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

Authorized official

Name

David Terry

Title

Physcian

Phone

(865) 271-8241

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RENEWED LIFESTYLES INC Doing business as

Locations

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1063987501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 GREENBELT DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 GREENBELT DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045702",
            "telephone_number": "865-271-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED LIFESTYLES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "865-271-8241"
    },
    "taxonomies": [
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104856772",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RENEWED LIFESTYLES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael S Reed
• Meredith Grace Reeder, PHARMD
• Wendy Pitts Reeves, L.C.S.W.
• Kim Reiordan
• John R Reisser, MD
• Respiratory Home Care of Bristol, LLC
• Smantha Reyna
• Reynolds Prosthetics & Orthotics Inc
• Janne Reynolds, APN
• Natalia Reynolds, LPN

• Lithotripsy Clinic/Center in Maryville, TN
• Providers in Maryville, TN by specialty
• Lithotripsy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.