Individual provider Active NPI

Renee Ann Llorente, MA

  • Audiologist
  • Stratham, NH
National Provider Identifier
1144434937
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A803 Issued in NH
Practice address
4 West Rd Ste 4C
Stratham, NH 03885-2612
Phone
(207) 475-0100
Fax
(855) 654-3271
NPI assigned
May 10, 2007
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 857 MA
Audiologist 231H00000X A803 NH Primary

Addresses

Primary practice location

4 West Rd Ste 4C
Stratham, NH 03885-2612

Mailing address

4 West Rd Ste 4C
Stratham, NH 03885-2612
Phone (207) 475-0100

Other practice location 1

21 Highland Ave
Newburyport, MA 01950-3872
Phone (978) 462-6250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081120000878 MA Practitioner - Qualified Audiologist 1153481189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colden Ear Nose Throat and Allergy LLCGroup PAC ID 3678890597, 6 clinicians

Practice addresses (Care Compare)

1 Wallace Bashaw Jr Way
Suite 3002
Newburyport, MA 01950-3877

1 Wallace Bashaw Way
Suite 3002
Newburyport, MA 01950-3877
Phone (978) 997-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
857MAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colden Ear Nose Throat & Allergy LLC CurrentSince Oct 1, 2008 Accepting new patients
Colden Ear Nose Throat & Allergy LLC CurrentSince Feb 4, 2015 Accepting new patients

Locations

62 Brown St
Ste 205
Haverhill, MA 01830
Phone (978) 499-3810

62 Brown St
Ste 301
Haverhill, MA 01830
Phone (978) 374-6770

1 Wallace Bashaw Way
Ste 3002
Newburyport, MA 01950
Phone (978) 997-1550

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1144434937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WEST RD STE 4C",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852612",
            "telephone_number": "207-475-0100",
            "fax_number": "855-654-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WEST RD STE 4C",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852612",
            "telephone_number": "207-475-0100",
            "fax_number": "855-654-3271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Newburyport",
            "state": "MA",
            "postal_code": "019503872",
            "country_code": "US",
            "telephone_number": "978-462-6250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLORENTE",
        "first_name": "RENEE",
        "middle_name": "ANN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "857",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NH",
            "license": "A803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.