Valerie Lee Reneau, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMT-24993 Issued in OR

Practice address

480 Wartahoo LN
Canyonville, OR 97417-9683

Phone

(541) 672-8533

NPI assigned

Dec 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: valerie.reneau@cchwc.directbygreenway.com

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.

• Cow Creek Band of Umpqua Tribe of Indians

  • Federally Qualified Health Center (FQHC)
  • Roseburg, OR
  • NPI 1063502714
  NPD
• Cow Creek Band of Umpqua Tribe of Indians

  • Federally Qualified Health Center (FQHC)
  • Canyonville, OR
  • NPI 1134567993
  NPD
• Myrtle Creek Chiropractic P.C.

  • Chiropractor
  • Myrtle Creek, OR
  • NPI 1518132836
  NPD (past)

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1407623366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1213",
            "city": "MYRTLE CREEK",
            "state": "OR",
            "postal_code": "974570129",
            "telephone_number": "541-643-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 WARTAHOO LN",
            "city": "CANYONVILLE",
            "state": "OR",
            "postal_code": "974179683",
            "telephone_number": "541-672-8533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2589 NW Edenbower Blvd",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974716224",
            "country_code": "US",
            "telephone_number": "541-728-5336",
            "fax_number": "855-670-1788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENEAU",
        "first_name": "VALERIE",
        "middle_name": "LEE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "LMT-24993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Douglas Gambill, PA-C
• Gordons Pharmacy & Gifts LLC
• Nicole April Johnston, DEM
• Reanna Marie Meisner
• Michelle Lynn Reisig, PT
• Tari Ellen Shapiro, RPH
• James Brian Siegel, DC
• Carolyn Elizabeth Simmons, M.D.
• David Allen Stevens, R.PH.
• Shannon Briana Suhr, FNP

• Massage Therapist in Canyonville, OR
• Providers in Canyonville, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.