Renee Sandra Stewart, RD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

923321 Issued in PA

Practice address

471 Center St
Kidney Treatment Center of Phillipsburg - CKD Services
Phillipsburg, NJ 08865-2663

Phone

(908) 454-7440

Fax

(908) 454-9050

NPI assigned

Oct 13, 2006

Last updated

Nov 28, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Renee Sandra Smyers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1073603015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 500TT",
            "city": "KUNKLETOWN",
            "state": "PA",
            "postal_code": "180589104",
            "telephone_number": "610-871-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 CENTER ST",
            "address_2": "KIDNEY TREATMENT CENTER OF PHILLIPSBURG - CKD SERVICES",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652663",
            "telephone_number": "908-454-7440",
            "fax_number": "908-454-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "RENEE",
        "middle_name": "SANDRA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "PA",
            "license": "923321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "SMYERS",
            "middle_name": "SANDRA",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Renal Nutrition Registered Dietitian in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Renal Nutrition Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.