Organization Active NPI

Mind & Body Renew

  • Family Nurse Practitioner
  • Manitowoc, WI
National Provider Identifier
1316889264
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MIND & BODY RENEW
Practice address
2006 Rankin St
Manitowoc, WI 54220-2642
Phone
(920) 320-9109
NPI assigned
Apr 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Donna Buechner, NPCNPI 1114317419
Title
FNP, Pmhnp
Phone
(920) 901-9350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2006 Rankin St
Manitowoc, WI 54220-2642

Mailing address

PO Box 1
Manitowoc, WI 54221-0001
Phone (920) 781-3993

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1316889264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542210001",
            "telephone_number": "920-781-3993",
            "fax_number": "920-548-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 RANKIN ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202642",
            "telephone_number": "920-320-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND & BODY RENEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "BUECHNER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "FNP, PMHNP",
        "authorized_official_telephone_number": "920-901-9350",
        "authorized_official_credential": "NPC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.