Renee Thornton, MS, RD, CSO, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN004996 Issued in PA

Practice address

300 Brookside Ave Ste 180
Ambler, PA 19002-3436

Phone

(484) 450-8488

NPI assigned

Dec 20, 2018

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

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Simplex Health

  • Registered Dietitian
  • Ambler, PA
  • NPI 1598137218

  Dietitian, Registered

  Medicare reassignment NPD
• Adrian Chiu, PH.D., PLLC

  • Psychologist
  • Ambler, PA
  • NPI 1366890337
  NPD (past)

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1477025096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BROOKSIDE AVE STE 180",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROOKSIDE AVE STE 180",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023436",
            "telephone_number": "484-450-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "RENEE",
        "credential": "MS, RD, CSO, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anza Susan Thomas, OTR/L
• Evan J Thomas, M.D.
• Brooke T. Thompson, RD
• Christina Zabrodski Thompson, PT, DPT, DHSC
• Mary Welte Thompson, ED.D
• Tracy Thornton, PTA
• Lei Ting
• Barbara Kinzer Tobin, CRNP
• Dorothy Le Tran, MD, RD, LD
• Thao-Tam Tran, D.O.

• Registered Dietitian in Ambler, PA
• Providers in Ambler, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.

Verify at the official NPI Registry.