Active NPI
Renee M Titley
- Contractor
- Madison, IL
National Provider Identifier
1144982877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 1626 7TH St
Madison, IL 62060-1426 - Phone
- (503) 660-2042
- NPI assigned
- Oct 11, 2021
- Last updated
- Oct 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Contractor | 171W00000X | Primary | ||
| Homeopath | 175L00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
1626 7TH St
Madison, IL 62060-1426
Mailing address
1626 7TH St
Madison, IL 62060-1426
Phone (503) 660-2042
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633910400000",
"number": "1144982877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 7TH ST",
"city": "MADISON",
"state": "IL",
"postal_code": "620601426",
"telephone_number": "503-660-2042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 7TH ST",
"city": "MADISON",
"state": "IL",
"postal_code": "620601426",
"telephone_number": "503-660-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TITLEY",
"first_name": "RENEE",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-11",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "175L00000X",
"taxonomy_group": "",
"desc": "Homeopath",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.