Active NPI
R. Renee Halstead, CNM NP RN
- Midwife
- Clovis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- NMW147
- Practice address
- 722 Medical Center Dr E #101
Clovis, CA 93611 - Phone
- (559) 297-9500
- Fax
- (559) 297-9572
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | NMW147 | Primary |
Addresses
Primary practice location
722 Medical Center Dr E #101
Clovis, CA 93611
Mailing address
722 Medical Center Dr E #101
Clovis, CA 93611
Phone (559) 297-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NMW001470 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Foundation Medical Group | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| University Faculty Associates, Inc. | Past | Accepting new patients |
Locations
722 N Medical Center Dr E
Ste 101
Clovis, CA 93611
Phone (559) 297-9500
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1811258510
-
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1134668353
-
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1376056721
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1235537283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431993600000",
"number": "1336204163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 MEDICAL CENTER DR E #101",
"city": "CLOVIS",
"state": "CA",
"postal_code": "93611",
"telephone_number": "559-297-9500",
"fax_number": "559-297-9572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 MEDICAL CENTER DR E #101",
"city": "CLOVIS",
"state": "CA",
"postal_code": "93611",
"telephone_number": "559-297-9500",
"fax_number": "559-297-9572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALSTEAD",
"first_name": "R.",
"middle_name": "RENEE",
"credential": "CNM NP RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2015-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": null,
"license": "NMW147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NMW001470",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.