Individual provider Active NPI

Renata Anderson

  • Audiologist
  • Pendleton, OR
National Provider Identifier
1295779882
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
HAS-P-027200 Issued in OR
Practice address
2237 SW Court Ave
Pendleton, OR 97801-1896
Phone
(541) 276-5053
Fax
(541) 276-5112
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X HAS-P-027200 OR Primary

Addresses

Primary practice location

2237 SW Court Ave
Pendleton, OR 97801-1896

Mailing address

2237 SW Court Ave
Pendleton, OR 97801-1896
Phone (541) 276-5053

Other identifiers 1

IdentifierTypeStateIssuer
102368MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080812000220 OR Practitioner - Qualified Audiologist 7810062718 Practice locations: Pendleton, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
712ORMDNaturopath
HAS-P-027200ORMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Terry Wigley MD PC Past Accepting new patients
Center for Excellence in Dermatology, PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2237 SW Court Ave
Pendleton, OR 97801-1896
Phone (541) 276-5053

2237 SW Court PL
Pendleton, OR 97801-1896

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295779882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 SW COURT AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978011896",
            "telephone_number": "541-276-5053",
            "fax_number": "541-276-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 SW COURT AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978011896",
            "telephone_number": "541-276-5053",
            "fax_number": "541-276-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RENATA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "HAS-P-027200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102368",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.