Individual provider Active NPI

Liesl Corrin Renfree

  • Registered Nurse
  • Sutter Creek, CA
National Provider Identifier
1265675714
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN747551 Issued in CA
Practice address
91 Fullen St
Sutter Creek, CA 95685-8700
Phone
(209) 217-7182
NPI assigned
Apr 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN747551 CA Primary

Addresses

Primary practice location

91 Fullen St
Sutter Creek, CA 95685-8700

Mailing address

91 Fullen St
Sutter Creek, CA 95685-8700
Phone (209) 217-7182

Other identifiers 1

IdentifierTypeStateIssuer
RN747551OtherCAMEDI-CAL

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

State licenses

LicenseStateTypeSpecialty
RN747551CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Amador PastSince Aug 18, 2019 Accepting new patients
County of Amador PastSince Dec 14, 2013 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1265675714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 FULLEN ST",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956858700",
            "telephone_number": "209-217-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 FULLEN ST",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956858700",
            "telephone_number": "209-217-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFREE",
        "first_name": "LIESL",
        "middle_name": "CORRIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN747551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "RN747551",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutter Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.