Active NPI
Renee B Brenner
- Student in an Organized Health Care Education/Training Program
- Navarre, OH
National Provider Identifier
1154488310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 2405721
- Practice address
- 6344 Shepler Church Ave SW
Navarre, OH 44662-9741 - Phone
- (330) 484-3650
- NPI assigned
- Jan 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2405721 | OH | Primary |
Addresses
Primary practice location
6344 Shepler Church Ave SW
Navarre, OH 44662-9741
Mailing address
6344 Shepler Church Ave SW
Navarre, OH 44662-9741
Phone (330) 484-3650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2405721 | Other | OH | PROVIDER I.D. NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2405721 | OH | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154488310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6344 SHEPLER CHURCH AVE SW",
"city": "NAVARRE",
"state": "OH",
"postal_code": "446629741",
"telephone_number": "330-484-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6344 SHEPLER CHURCH AVE SW",
"city": "NAVARRE",
"state": "OH",
"postal_code": "446629741",
"telephone_number": "330-484-3650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "RENEE",
"middle_name": "B",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "2405721",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER I.D. NUMBER",
"identifier": "2405721",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Navarre, OH
- Altercare of Navarre Center for Rehabilitation and Nursing Care, Inc.
- Deborah S Bennethum, LPN
- Bethlehem Fire & Rescue, Inc.
- Blue Jays Way,LLC
- Thomas Edward Bowers I, D.C.
- Melissa Carathers
- Rochelle Weikers Coleman, ED.S.
- Country Lawn Center for Rehabilitation & Nursing Care, Inc.
- Melissa Elaine Cupples, LPN
- Dr Zane Wesley Zimmerman LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.