Active NPI
RS Renewal LLC
- Family Nurse Practitioner
- Bentonville, AR
National Provider Identifier
1407628365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- RS RENEWAL LLC
- Practice address
- 2900 Medical Center Pkwy Ste 140
Bentonville, AR 72712-3212 - Phone
- (479) 616-0690
- Fax
- (479) 553-1969
- NPI assigned
- Oct 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Ellen Stewart, APRN
- Title
- MSN Aprn FNP-C
- Phone
- (479) 616-0690
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2900 Medical Center Pkwy Ste 140
Bentonville, AR 72712-3212
Mailing address
602 Arcadia Dr
Bentonville, AR 72712-3534
Phone (479) 616-0690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Wound Care Registered Nurse
- Fayetteville, AR
- NPI 1407552557
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698105600000",
"number": "1407628365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 ARCADIA DR",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123534",
"telephone_number": "479-616-0690",
"fax_number": "479-553-1969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 MEDICAL CENTER PKWY STE 140",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123212",
"telephone_number": "479-616-0690",
"fax_number": "479-553-1969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RS RENEWAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-24",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "MSN APRN FNP-C",
"authorized_official_telephone_number": "479-616-0690",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.