Lana N Renk, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

15-01391 Issued in KS

Practice address

7405 Renner Rd
Shawnee, KS 66217-9414

Phone

(913) 588-8465

Fax

(913) 588-8529

NPI assigned

Aug 4, 2010

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

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nasri PLLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Las Vegas, NV
  • NPI 1407575442
  Medicare reassignment

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1104130889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 RENNER RD.",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662178201",
            "telephone_number": "913-588-8465",
            "fax_number": "913-588-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 RENNER RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179414",
            "telephone_number": "913-588-8465",
            "fax_number": "913-588-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENK",
        "first_name": "LANA",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-01391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle A Reed, DPT
• Tammy Lynn Reese, RN
• Regenerative Health Center LLC
• Erin Ann Reisner
• Rem Anesthesia, LLC
• Michael William Repp, DC
• Residential Solutions, LLC
• Resolute Dermatology
• Kimberly Reyes, COTA/L
• Angela Lynn Reynolds, RN

• Medical Physician Assistant in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Medical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.