Active NPI
Renee Morton
- Peer Specialist
- Stockton, CA
National Provider Identifier
1336914126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 1803 W March LN
Stockton, CA 95207-6458 - Phone
- (209) 636-5355
- NPI assigned
- Nov 21, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary | ||
| Peer Specialist | 175T00000X | CA |
Addresses
Primary practice location
1803 W March LN
Stockton, CA 95207-6458
Mailing address
1803 W March LN Ste C
Stockton, CA 95207-6414
Phone (209) 636-5355
Other names 1
- Renee Zachary
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1336914126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 W MARCH LN STE C",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076414",
"telephone_number": "209-636-5355",
"fax_number": "209-636-5356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 W MARCH LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076458",
"telephone_number": "209-636-5355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTON",
"first_name": "RENEE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-21",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "ZACHARY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.