Individual provider Active NPI

Renee Parnell McLeod, DNSC, APRN, CPNP

  • Pediatric Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1275601684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
272669 Issued in CA
Practice address
4020 5TH Ave
San Diego, CA 92103-2106
Phone
(619) 260-7278
Fax
(619) 260-7310
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 272669 CA Primary

Addresses

Primary practice location

4020 5TH Ave
San Diego, CA 92103-2106

Mailing address

14452 Corte Morea
San Diego, CA 92129-3812
Phone (858) 484-8210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275601684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14452 CORTE MOREA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921293812",
            "telephone_number": "858-484-8210",
            "fax_number": "858-484-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 5TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032106",
            "telephone_number": "619-260-7278",
            "fax_number": "619-260-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "RENEE",
        "middle_name": "PARNELL",
        "name_prefix": "Dr.",
        "credential": "DNSC, APRN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "272669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.