Renegades for Life Inc

Primary specialty

Optometric Assistant TechnicianTaxonomy code 156FX1201X

Legal business name

RENEGADES FOR LIFE INC

Practice address

1265 S Main St Ste 305a
Seattle, WA 98144-2010

Phone

(206) 841-3700

NPI assigned

Apr 23, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Saleem Robinson

Title

President

Phone

(206) 841-3700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1497319792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10245 DES MOINES MEMORIAL DR S APT 401",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981681660",
            "telephone_number": "206-841-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 S MAIN ST STE 305A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442010",
            "telephone_number": "206-841-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEGADES FOR LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SALEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-841-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optometric Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickery Laura Rendall, LSWAA
• Jill Render, M.D.
• Jarred John Rendon
• Amy Renee, RN
• Sally Renee, LMP
• Marissa Renella, MT-BC, MTL
• Renewtrition, LLC
• Mary Ann Renfro, P.T.
• Andrea Renfroe, M.S.
• John James Renfrow

• Technician/Technologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Technician/Technologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.