Individual provider Active NPI

Renee Denise Flanagan, M.A.

  • Specialist
  • Upland, CA
National Provider Identifier
1245418896
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AU1470 Issued in CA
Practice address
400 N Mountain Ave Ste 222
Upland, CA 91786-5191
Phone
(800) 675-5485
Fax
(909) 931-1071
NPI assigned
Feb 6, 2008
Last updated
Feb 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AU1470 CA Primary
Specialist 174400000X HA3228 CA

Addresses

Primary practice location

400 N Mountain Ave Ste 222
Upland, CA 91786-5191

Mailing address

400 N Mountain Ave Ste 222
Upland, CA 91786-5191
Phone (800) 675-5485

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AU1470CAMDSpecialist
HA3228CAMDSpecialist
1470CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Hearing, Inc. PastSince Dec 28, 2022 Accepting new patients
Connect Hearing, Inc. Past Accepting new patients
Connect Hearing, Inc. PastSince Dec 16, 2020 Accepting new patients
Connect Hearing, Inc. Past Accepting new patients
Connect Hearing, Inc. Past Accepting new patients
Connect Hearing, Inc. PastSince Apr 26, 2020 Accepting new patients
Connect Hearing, Inc. Past Accepting new patients

Organizations & group practices 7

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1245418896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MOUNTAIN AVE STE 222",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865191",
            "telephone_number": "800-675-5485",
            "fax_number": "909-931-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MOUNTAIN AVE STE 222",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865191",
            "telephone_number": "800-675-5485",
            "fax_number": "909-931-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "RENEE",
        "middle_name": "DENISE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "AU1470",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "HA3228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.