NPIMap

Organization Active NPI

Renu Chattanooga, PLLC

Doing business as ReNu Chattanooga

  • Addiction Medicine (Internal Medicine) Physician
  • Hixson, TN
National Provider Identifier
1396288890
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
0000037970 Issued in TN
Legal business name
RENU CHATTANOOGA, PLLC
Doing business as
ReNu Chattanooga
Practice address
5870 Highway 153 Ste 122
Hixson, TN 37343-5826
Phone
(423) 243-3342
Fax
(423) 402-8155
NPI assigned
Dec 1, 2016
Last updated
Aug 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Paula Christine Nicola, MDNPI 1659319010
Title
Facility Director/Owner
Phone
(423) 243-3342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 0000037970 TN Primary

Addresses

Primary practice location

5870 Highway 153 Ste 122
Hixson, TN 37343-5826

Mailing address

979 E 3Rd St
Suite 240
Chattanooga, TN 37403-2136
Phone (423) 243-3330

Other names 1

  • ReNu Chattanooga Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Hixson Direct

National Provider Directory

National Provider Directory

Locations

5870 Highway 153
Ste 122
Hixson, TN 37343
Phone (423) 243-3342

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1396288890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST",
            "address_2": "SUITE 240",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032136",
            "telephone_number": "423-243-3330",
            "fax_number": "423-648-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 HIGHWAY 153 STE 122",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435826",
            "telephone_number": "423-243-3342",
            "fax_number": "423-402-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENU CHATTANOOGA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "NICOLA",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "FACILITY DIRECTOR/OWNER",
        "authorized_official_telephone_number": "423-243-3342",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "TN",
            "license": "0000037970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hixson",
            "affiliation": "N",
            "endpointDescription": "web site",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Hixson",
            "address_1": "5870 Highway 153 Ste 122",
            "city": "Hixson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373435826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ReNu Chattanooga",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ReNu Chattanooga",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.