Theresa Marie Renner, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

208 Edgemont Blvd
Plachy Hall - Athletic Training
Alamosa, CO 81102-0001

Phone

(719) 587-7431

NPI assigned

Nov 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1164604690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 4TH ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012413",
            "telephone_number": "307-689-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 EDGEMONT BLVD",
            "address_2": "PLACHY HALL - ATHLETIC TRAINING",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811020001",
            "telephone_number": "719-587-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNER",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori A Reible, DPT
• Audrey Reich, LCSW
• Jenelle Reilly
• Lenore Katherine Reinhart, LPC
• Lindsey Marie Renner, RN, MSN, APRN, FNP-C
• Reyna Reyes, PHARMD
• Susan Reynolds
• Jordan Scott Ricard, PHARM.D.
• Debra M Rice, ARNP
• Robert Rice, MD

• Athletic Trainer in Alamosa, CO
• Providers in Alamosa, CO by specialty
• Athletic Trainer in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.