Tarcha Rentz, PHD, CFM

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

License

CFM03392 Issued in VA

Practice address

6019 NW 90TH St
Gainesville, FL 32653-2990

Phone

(352) 358-1651

NPI assigned

Oct 12, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1497353494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 NW 90TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326532990",
            "telephone_number": "352-358-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 NW 90TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326532990",
            "telephone_number": "352-358-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTZ",
        "first_name": "TARCHA",
        "name_prefix": "Dr.",
        "credential": "PHD, CFM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "VA",
            "license": "CFM03392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillon Reno, DO
• Glynn Reno, DO
• Deborah Renois, PMHNP
• Dessa Rentrop, RDN, LDN
• Cheyanne Rentsch
• Sara Renwick, RN
• Marina Elaine Renzi, ATC
• Alan Thomas Repas, LMT
• Steven Mark Anthony Requena, NP
• Request Physical Therapy

• Mastectomy Fitter in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Mastectomy Fitter in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.