Individual provider Active NPI

Renee Hope Fletcher, ARNP

  • Gerontology Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1477562601
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP 3186252 Issued in FL
Practice address
8466 Lockwood Ridge Rd
# 160
Sarasota, FL 34243-2951
Phone
(941) 228-0270
Fax
(941) 460-5448
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP30005908 WA
Gerontology Nurse Practitioner 363LG0600X ARNP 3186252 FL Primary

Addresses

Primary practice location

8466 Lockwood Ridge Rd
# 160
Sarasota, FL 34243-2951

Mailing address

8466 Lockwood Ridge Rd
#160
Sarasota, FL 34243-2951
Phone (941) 228-0270

Other identifiers 1

IdentifierTypeStateIssuer
9637448MedicaidWA

Other names 1

  • Ms. Renee Hope Goodman Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090912000149 FL Practitioner - Nurse Practitioner 3274537279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Constance B Purser MD PLGroup PAC ID 1850467010, 2 clinicians

Practice addresses (Care Compare)

Sarasota, FL 34243
Phone (941) 228-0270

8936 77TH Ter E
Unit 102
Lakewood Ranch, FL 34202-6419
Phone (941) 343-7519

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Sarasota, FL, CCN 109371
  • Residential Home Health of WC FL Home health agency, Venice, FL, CCN 108242
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Plymouth Harbor Incorporated Nursing home, Sarasota, FL, CCN 105817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 3186252FLMDGerontology Nurse Practitioner
AP30005908WAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Manatee Geriatrics LLC Gerontology CurrentSince Jul 5, 2012 Accepting new patients
Constance B Purser MD PL CurrentSince Apr 1, 2024 Accepting new patients
John H. Addison MD PS PastSince Mar 1, 2015 Accepting new patients

Locations

8936 77th Ter E
Unit 102
Lakewood Ranch, FL 34202
Phone (941) 343-7519

8466 Lockwood Ridge Rd
Sarasota, FL 34243
Phone (800) 939-1643

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1477562601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8466 LOCKWOOD RIDGE RD",
            "address_2": "#160",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432951",
            "telephone_number": "941-228-0270",
            "fax_number": "941-460-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8466 LOCKWOOD RIDGE RD",
            "address_2": "# 160",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432951",
            "telephone_number": "941-228-0270",
            "fax_number": "941-460-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "RENEE",
        "middle_name": "HOPE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP30005908",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP 3186252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9637448",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "GOODMAN",
            "middle_name": "HOPE",
            "prefix": "MS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.