Individual provider Active NPI

S. Renee Broyles, APRN

  • Acute Care Nurse Practitioner
  • Fairfield, OH
National Provider Identifier
1174118905
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0027978 Issued in OH
Practice address
15 N Timber Hollow Dr Apt 1513
Fairfield, OH 45014-7737
Phone
(513) 338-9852
NPI assigned
Mar 3, 2021
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0027978 OH Primary

Addresses

Primary practice location

15 N Timber Hollow Dr Apt 1513
Fairfield, OH 45014-7737

Mailing address

15 N Timber Hollow Dr Apt 1513
Fairfield, OH 45014-7737
Phone (513) 338-9852

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20221206001389 OH Practitioner - Nurse Practitioner 4385013838 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0027978OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Syed Najeed, MD, LLC CurrentSince Jun 3, 2025 Accepting new patients
Oza & Oza MDS Inc CurrentSince Jun 1, 2024 Accepting new patients

Locations

1 Elizabeth Pl
#115
Dayton, OH 45417
Phone (937) 222-3544

1 Elizabeth Pl
Ste 115
Dayton, OH 45417
Phone (937) 620-2440

1 Elizabeth Pl
Ste Wp
Dayton, OH 45417

1 Elizabeth Pl
Ste WP1010A
Dayton, OH 45417
Phone (937) 222-3544

1150 W Locust St
Ste 200
Wilmington, OH 45177
Phone (937) 382-5030

Organizations & group practices 3

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": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1174118905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N TIMBER HOLLOW DR APT 1513",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450147737",
            "telephone_number": "513-338-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N TIMBER HOLLOW DR APT 1513",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450147737",
            "telephone_number": "513-338-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYLES",
        "first_name": "S. RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "0027978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.