Renee Denise Storm, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP61243325 Issued in WA

Practice address

1309 NE 134TH St Ste B
Vancouver, WA 98685-2704

Phone

(503) 467-6589

Fax

(571) 368-5192

NPI assigned

Sep 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pearl Health Center,PC

  • Primary Care Clinic/Center
  • Portland, OR
  • NPI 1104918275
  Medicare reassignment NPD
• Hey Sister Spa P-LLC

  dba Storm Wellness Northwest

  • Medical Specialty Clinic/Center
  • Vancouver, WA
  • NPI 1922799600
  NPD Authorized official
• The Vascular and Interventional Group, LLC

  • Vascular & Interventional Radiology Physician
  • Wilsonville, OR
  • NPI 1265908289
  NPD
• Pacific Crest Childrens Urgent Care LLC

  dba Brave Care

  • Urgent Care Clinic/Center
  • Portland, OR
  • NPI 1164947701
  NPD (past)

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1144991381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 NW KEARNEY ST APT 921",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092770",
            "telephone_number": "503-467-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 NE 134TH ST STE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852704",
            "telephone_number": "503-467-6589",
            "fax_number": "571-368-5192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10300 SW Eastridge St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972255004",
            "country_code": "US",
            "telephone_number": "503-994-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6924 NE Sandy Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972135256",
            "country_code": "US",
            "telephone_number": "503-660-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STORM",
        "first_name": "RENEE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP61243325",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OR",
            "license": "202110572NP-PP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OR",
            "license": "202110572NP-PP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Storey
• Nicole Wrayann Storlie, ARNP, PMHNP-BC
• Timothy A Storlie
• Kevin L Storm, MA LMHC
• Rachel Kyrie Storm, MA, LMHCA
• Toni Lucille Storm, MD
• Story Unfolding LLC
• Michael John Stout
• Corinne Stovall
• Cynthia M Stovall, LMP

• Acute Care Nurse Practitioner in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Acute Care Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.