Rebecca Ann Renner, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND7128 Issued in FL

Practice address

2778 US Highway 27 S
Avon Park, FL 33825-9755

Phone

(863) 336-5888

NPI assigned

Nov 29, 2023

Last updated

Nov 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• MP Primary Care Services

  • Nephrology Physician
  • Avon Park, FL
  • NPI 1609512656
  NPD

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1275309379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30443 MIMI ST",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338700518",
            "telephone_number": "863-464-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2778 US HIGHWAY 27 S",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259755",
            "telephone_number": "863-336-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNER",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND7128",
            "primary": true
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "FL",
            "license": "ND7128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Darlene Presley, FNP-BC
• Prixit Sharma Inc
• Syed H Qadri, M.D.
• Sharneiqua Tania Quashie
• Quintana Ventures LLC (Chaney's Haven)
• Megan Elizabeth Renz, LMHC
• Jennifer Revels, MD
• Reynaldo L Descalso MD PA
• Richard M. a. Wood DMD, PA
• Ridge Area Arc Inc

• Registered Dietitian in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.