Renaissance Residency

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

RENAISSANCE RESIDENCY

Practice address

1947 Summer Place Dr W
Mobile, AL 36618-3237

Phone

(251) 300-4207

NPI assigned

Nov 4, 2009

Organization subpart

No

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

Authorized official

Name

Gwendolyn Trenese-Williams Jones, ED.S

Title

Director

Phone

(251) 621-3525

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1356678858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11673 MCFARLAND RD",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275768",
            "telephone_number": "251-621-3525",
            "fax_number": "251-621-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 SUMMER PLACE DR W",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366183237",
            "telephone_number": "251-300-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE RESIDENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "TRENESE-WILLIAMS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "251-621-3525",
        "authorized_official_credential": "ED.S"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Mobile, AL
• Providers in Mobile, AL by specialty
• Exclusive Provider Organization in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.