Angela Ann Renaud, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9228071 Issued in FL

Practice address

4200 NW 90TH Blvd
Gainesville, FL 32606-3809

Phone

(352) 378-2121

Fax

(904) 493-3395

NPI assigned

Jul 1, 2014

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

Other names 1

• Ms. Angela Ann Luke Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Haven Medical Group, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Gainesville, FL
  • NPI 1407143316
  Medicare reassignment NPD
• Quality Healthcare Resources LLC

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1205081437

  FL

  Medicare reassignment NPD
• Abode Hospice of Florida, LLC

  • Community Based Hospice Care Agency
  • Gainesville, FL
  • NPI 1154162857
  NPD (past)
• Symphony Specialty Group, LLC

  • Specialist
  • Jacksonville, FL
  • NPI 1831878735
  NPD (past)
• East Coast PM&R Consultants PLLC

  • Physical Medicine & Rehabilitation Physician
  • Bristol, VA
  • NPI 1659780047
  NPD (past)

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1467868299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 NW 90TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326063809",
            "telephone_number": "352-378-2121",
            "fax_number": "904-493-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NW 90TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326063809",
            "telephone_number": "352-378-2121",
            "fax_number": "904-493-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENAUD",
        "first_name": "ANGELA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9228071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "LUKE",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather P Remer, LMHC
• William Thomas Remley Jr., DO
• Torge Rempe, M.D.
• Matthew Aaron Remz, MD
• Ronnie Kuo Ren, M.D.
• Mariah Mae Renaud, APRN
• Adam Renneisen, DO
• Dillon Reno, DO
• Glynn Reno, DO
• Deborah Renois, PMHNP

• Family Nurse Practitioner in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.