Breann Marie Renner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4521 Issued in WI

Practice address

1857 Sand Lake Rd
Onalaska, WI 54650-1900

Phone

(608) 781-2881

Fax

(608) 781-2882

NPI assigned

Aug 25, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Breann Marie Reilly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healthy Living Chiropractic, LLC

  • Chiropractor
  • Onalaska, WI
  • NPI 1962790386
  NPD (past) Authorized official
• Three Rivers Chiropractic LLC

  • Chiropractor
  • Lacrosse, WI
  • NPI 1295838670
  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1457584484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 SAND LAKE RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546501900",
            "telephone_number": "608-781-2881",
            "fax_number": "608-781-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 SAND LAKE RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546501900",
            "telephone_number": "608-781-2881",
            "fax_number": "608-781-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNER",
        "first_name": "BREANN",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANN",
            "last_name": "REILLY",
            "middle_name": "MARIE",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lucas Readinger, MD
• Tonya Rachelle Rebhahn, RDH
• Molly Redalen, RN, BSN
• Nancy Ellen Reithel, P.T.
• Shaina Blair Rennegarbe, DMD
• Jennifer Kathleen Ressel, OTR
• Courtney Rynae Retzlaff
• Revive Chiropractic Wellness Center, LLC
• Maria Richardson, FNP
• Richland County Care, LLC

• Chiropractor in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.