Tanya Rennie, RN, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R0105571 Issued in OK

Practice address

505 St James PL
Newcastle, OK 73065-4082

Phone

(405) 387-2208

Fax

(405) 387-3430

NPI assigned

May 26, 2015

Last updated

Aug 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrive Psychiatric & Medication LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newcastle, OK
  • NPI 1760066633
  Medicare reassignment NPD Authorized official
• Thrive Psychiatric & Medication LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newcastle, OK
  • NPI 1073195079
  NPD Authorized official

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1417336348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ST JAMES PL",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730654082",
            "telephone_number": "405-387-2208",
            "fax_number": "405-387-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 ST JAMES PL",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730654082",
            "telephone_number": "405-387-2208",
            "fax_number": "405-387-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNIE",
        "first_name": "TANYA",
        "credential": "RN,  APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0105571",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "R0105571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Pookkattu Paul, M.D.
• Pediatric Dental Services of Oklahoma PLLC (Pediatric Dental Services)
• Wendy Lynn Perry, LPC
• Wesley Edward Pope, M.D.
• PTMS 3.0, LLC (Physical Therapy Central of Newcastle)
• Darren Rice
• Sheila Ridley
• Shelbi Diane Robinett, DDS
• Robyn Lea Ross, MPT
• Sam's Optical West LLC

• Psychiatric/Mental Health Nurse Practitioner in Newcastle, OK
• Providers in Newcastle, OK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.