Renewed Health

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

RENEWED HEALTH

Practice address

2374 Diamond Hill Rd
Cumberland, RI 02864-4744

Phone

(401) 680-0393

Fax

(267) 367-5920

NPI assigned

Jun 19, 2024

Last updated

Jun 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Elizabeth Walter, NPNPI 1912339433

Title

Director Nurse Practitioner

Phone

(612) 710-9176

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Elizabeth Walter, CNP

  • Adult Health Nurse Practitioner
  • Cumberland, RI
  • NPI 1912339433
  NPD Authorized official

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1275377970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MENDON RD STE E166",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028644391",
            "telephone_number": "401-680-0393",
            "fax_number": "267-367-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2374 DIAMOND HILL RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028644744",
            "telephone_number": "401-680-0393",
            "fax_number": "267-367-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR NURSE PRACTITIONER",
        "authorized_official_telephone_number": "612-710-9176",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Adult Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.