Individual provider Active NPI

Renee Michelle Sanders, RN

  • Registered Nurse
  • Hope Mills, NC
National Provider Identifier
1104584341
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
252152 Issued in NC
Practice address
5610 Medicus LN
Hope Mills, NC 28348-8500
Phone
(919) 703-7073
NPI assigned
Dec 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 252152 NC Primary

Addresses

Primary practice location

5610 Medicus LN
Hope Mills, NC 28348-8500

Mailing address

5019 Concho Rd
Charlotte, NC 28214-5049
Phone (919) 703-7073

Other practice location 1

5019 Concho Rd
Charlotte, NC 28214-5049
Phone (919) 703-7073

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.aplacetocallhomenc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
252152NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
A Place to Call Home NC LLC CurrentSince Sep 11, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1104584341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 CONCHO RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282145049",
            "telephone_number": "919-703-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 MEDICUS LN",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283488500",
            "telephone_number": "919-703-7073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5019 Concho Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282145049",
            "country_code": "US",
            "telephone_number": "919-703-7073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "RENEE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "252152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.aplacetocallhomenc.org",
            "affiliation": "N",
            "address_1": "5610 Medicus Ln",
            "city": "Hope Mills",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283488500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hope Mills, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.