Renew Womens Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RENEW WOMENS WELLNESS

Practice address

1959 NE Diamond Lake Blvd Ste C
Roseburg, OR 97470-3573

Phone

(541) 430-3444

NPI assigned

Nov 10, 2025

Last updated

Nov 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimbra Ann Epps, FNP-BCNPI 1154406064

Title

Owner

Phone

(541) 430-3444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimbra Ann Epps, FNP

  • Family Nurse Practitioner
  • Roseburg, OR
  • NPI 1154406064
  Medicare reassignment NPD (past) Authorized official

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1194695676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE DIAMOND LAKE BLVD STE C",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703573",
            "telephone_number": "541-430-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE DIAMOND LAKE BLVD STE C",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703573",
            "telephone_number": "541-430-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW WOMENS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-09",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "KIMBRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-430-3444",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David D Reneau, D.C.
• Donald Eugene Reneau, DC
• Gregory Wayne Reneau, DC
• Richard Reneau, D.C.
• Ryan James Reneau, D.C.
• Carly Reno
• Amanda Rense
• Kurt Von Rethwill, D.C.
• Jeffery W Retke, AA
• Debra Lynn Revelle

• Family Nurse Practitioner in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.