Active NPI
Liesl Corrin Renfree
- Registered Nurse
- Sutter Creek, CA
National Provider Identifier
1265675714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN747551
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN747551 | Other | CA | MEDI-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
| License | State | Type | Specialty |
|---|---|---|---|
| RN747551 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Amador | Past | Accepting new patients | |
| County of Amador | Past | 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.
-
- Community/Behavioral Health Agency
- Sutter Creek, CA
- NPI 1205055886
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Sutter Creek, CA
- NPI 1699321752
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.