Renae Elizabeth Obedisco, RN

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

RN244910 Issued in OH

Practice address

3333 Lincoln Ave
Parma, OH 44134-1228

Phone

(216) 741-1392

NPI assigned

Dec 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Renae Elizabeth Green Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1093950255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 LINCOLN AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441341228",
            "telephone_number": "216-741-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 LINCOLN AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441341228",
            "telephone_number": "216-741-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEDISCO",
        "first_name": "RENAE",
        "middle_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "OH",
            "license": "RN244910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENAE",
            "last_name": "GREEN",
            "middle_name": "ELIZABETH",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael Mark Nowak, M.D.
• Brittany Hope O'Brien
• Julie O'Connor, CNP
• Brian David O'Donnell
• Audrea Nichole Oaks, PA-C
• OBGYN of Westlake
• Marie Yvette Obias
• Chidozie Odigwe
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC

• Wound Care Registered Nurse in Parma, OH
• Providers in Parma, OH by specialty
• Wound Care Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.