Individual provider Active NPI

Catherine O Renken, NP

  • Family Nurse Practitioner
  • Chevy Chase, MD
National Provider Identifier
1295432987
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186423 Issued in VA
Practice address
8401 Connecticut Ave
Chevy Chase, MD 20815-5803
Phone
(301) 304-8800
Fax
(301) 652-4933
NPI assigned
Feb 13, 2023
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC005182 MD
Family Nurse Practitioner 363LF0000X 0024186423 VA Primary

Addresses

Primary practice location

8401 Connecticut Ave
Chevy Chase, MD 20815-5803

Mailing address

1420 Spring Vale Ave
MC Lean, VA 22101-3527
Phone (415) 793-8488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230411001688 MD Practitioner - Nurse Practitioner 6204201973 Reassigns benefits to 1 organization
I20230411002066 DC Practitioner - Nurse Practitioner 6204201973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

4910 Massachusetts Nwave
Washington, DC 20016-4300
Phone (202) 244-0812

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024186423VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Single Specialty CurrentSince Mar 26, 2023 Accepting new patients
Privia Care Center LLC Single Specialty CurrentSince Mar 26, 2023 Accepting new patients
Privia Care Center LLC Single Specialty CurrentSince Mar 26, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 26, 2023 Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • Direct secure messaging: catherine.renken.2@8042.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1295432987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SPRING VALE AVE",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013527",
            "telephone_number": "415-793-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CONNECTICUT AVE",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155803",
            "telephone_number": "301-304-8800",
            "fax_number": "301-652-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENKEN",
        "first_name": "CATHERINE",
        "middle_name": "O",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC005182",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.