Individual provider Active NPI

Edee Renier, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bremerton, WA
National Provider Identifier
1215590997
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PL61082175 Issued in WA
Practice address
1 Boone Rd
Bremerton, WA 98312-1894
Phone
(360) 475-4000
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO61449695 WA
Foot & Ankle Surgery Podiatrist 213ES0103X PL61082175 WA Primary

Addresses

Primary practice location

1 Boone Rd
Bremerton, WA 98312-1894

Mailing address

6016 Addison Rd SW
Port Orchard, WA 98367-1006
Phone (831) 421-1564

Other practice location 1

1708 Yakima Ave Ste 201
Tacoma, WA 98405-5300
Phone (253) 426-4694

Other practice location 2

34509 9th Ave S
Federal Way, WA 98003-6700
Phone (253) 944-4179

Other practice location 3

834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 344-3098

Other practice location 4

747 Broadway
Seattle, WA 98122-4307
Phone (206) 320-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260617002040 WA Practitioner - Podiatry 1052710522

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6016 Addison Rd SW
Port Orchard, WA 98367-1006

PO Box
Suite 104546
Pasadena, CA 91189-4546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO61449695WAMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1215590997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6016 ADDISON RD SW",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983671006",
            "telephone_number": "831-421-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOONE RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983121894",
            "telephone_number": "360-475-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Yakima Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984055300",
            "country_code": "US",
            "telephone_number": "253-426-4694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34509 9th Ave S",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980036700",
            "country_code": "US",
            "telephone_number": "253-944-4179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "834 Sheridan St",
            "address_purpose": "LOCATION",
            "city": "Port Townsend",
            "state": "WA",
            "postal_code": "983682443",
            "country_code": "US",
            "telephone_number": "360-344-3098",
            "fax_number": "360-379-2242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "747 Broadway",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981224307",
            "country_code": "US",
            "telephone_number": "206-320-2000",
            "fax_number": "206-320-4780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENIER",
        "first_name": "EDEE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO61449695",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PL61082175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.