Individual provider Active NPI

Renee Center, RN, MSN, CNS, CEN

  • Clinical Nurse Specialist
  • Vallejo, CA
National Provider Identifier
1548679442
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
547410 Issued in CA
Practice address
216 Phelan Ave
Vallejo, CA 94590-6463
Phone
(707) 319-3630
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 547410 CA Primary

Addresses

Primary practice location

216 Phelan Ave
Vallejo, CA 94590-6463

Mailing address

216 Phelan Ave
Vallejo, CA 94590-6463
Phone (707) 319-3630

Other names 1

  • Renee Center Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
547410CAMDClinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1548679442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 PHELAN AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945906463",
            "telephone_number": "707-319-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 PHELAN AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945906463",
            "telephone_number": "707-319-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTER",
        "first_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, CNS, CEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "547410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "CENTER",
            "credential": "RN, MSN, CNS, CEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.