Teri (Theresa) M Renslow

Primary specialty

DriverTaxonomy code 172A00000X

License

R5248136091205 Issued in WI

Practice address

316 Nicole LN
#5D
River Falls, WI 54022-3452

Phone

(715) 821-0992

NPI assigned

Nov 25, 2016

Last updated

Nov 25, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Theresa M Renslow Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1480032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480032000000",
    "number": "1265975171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 NICOLE LN",
            "address_2": "#5D",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540223452",
            "telephone_number": "715-821-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 NICOLE LN",
            "address_2": "#5D",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540223452",
            "telephone_number": "715-821-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENSLOW",
        "first_name": "TERI (THERESA)",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-25",
        "last_updated": "2016-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "WI",
            "license": "R5248136091205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "RENSLOW",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Driver in River Falls, WI
• Providers in River Falls, WI by specialty
• Driver in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2016; 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.