Active NPI
Renee P Slonaker, MS, CNS, LDN
- Nutritionist
- Great Barrington, MA
National Provider Identifier
1265167936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 12 Gilmore Ave
Great Barrington, MA 01230-1408 - Phone
- (860) 248-1126
- NPI assigned
- Jul 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
12 Gilmore Ave
Great Barrington, MA 01230-1408
Mailing address
PO Box 925
Great Barrington, MA 01230-0925
Phone (860) 248-1126
Other practice location 1
5 Albany Rd
West Stockbridge, MA 01266-9507
Phone (413) 822-7394
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)
- Not enrolled
- Credentials
- Certified Nurse Specialist, Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1265167936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 925",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "012300925",
"telephone_number": "860-248-1126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 GILMORE AVE",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "012301408",
"telephone_number": "860-248-1126"
}
],
"practiceLocations": [
{
"address_1": "5 Albany Rd",
"address_purpose": "LOCATION",
"city": "West Stockbridge",
"state": "MA",
"postal_code": "012669507",
"country_code": "US",
"telephone_number": "413-822-7394",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLONAKER",
"first_name": "RENEE",
"middle_name": "P",
"credential": "MS, CNS, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-18",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Barrington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.