Leah Renwanz, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

088190 Issued in IA

Practice address

1407 N Elm St
Jefferson, IA 50129-1012

Phone

(515) 370-3035

NPI assigned

Nov 10, 2017

Last updated

Nov 10, 2017By 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

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Vive Family Chiropractic PLLC

  • Chiropractor
  • Jefferson, IA
  • NPI 1912849258
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510272000000",
    "number": "1295248375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 S CEDAR ST",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "501292513",
            "telephone_number": "515-370-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 N ELM ST",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "501291012",
            "telephone_number": "515-370-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENWANZ",
        "first_name": "LEAH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-10",
        "last_updated": "2017-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "088190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Private Victories Counseling Services, LLC
• Kayla Rene Promes, CNP
• Reason Inc (Jefferson Family Chiropractic)
• Deonne Reed
• Regency Park Nursing and Rehabilitation Center of Jefferon
• Abby Michelle Richards, CRNA
• Ashley Nicole Riphagen, TEMP LMHC, CRC, MA
• Rural RX LLC (Greene County Pharmacy)
• Rural RX LLC
• Ashley A. Schwander, D.C.

• Chiropractor in Jefferson, IA
• Providers in Jefferson, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.