Active NPI
Renewal Health Services PLLC
- Family Nurse Practitioner
- Davenport, IA
National Provider Identifier
1568249282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- RENEWAL HEALTH SERVICES PLLC
- Practice address
- 1706 Brady St Ste 200
Davenport, IA 52803-4708 - Phone
- (563) 400-2801
- NPI assigned
- Sep 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather M Morden
- Title
- Provider
- Phone
- (563) 400-2801
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1706 Brady St Ste 200
Davenport, IA 52803-4708
Mailing address
1706 Brady St Ste 200
Davenport, IA 52803-4708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Davenport, IA
- NPI 1730600735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694649600000",
"number": "1568249282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 BRADY ST STE 200",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528034708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 BRADY ST STE 200",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528034708",
"telephone_number": "563-400-2801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEWAL HEALTH SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A",
"authorized_official_last_name": "MORDEN",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "563-400-2801"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
- Relay Staffing Solutions Inc (Quality Care by Relay)
- Reliable Non Emergency Medical Transport LLC
- Rem Iowa Community Services, Inc
- Anastasia Elizabeth Remley, M.S., CCC-SLP
- Renee D Lass
- Renewed Therapeutics LLC
- Haley Marie Resnick, PA-S
- Kylie Resnick, DDS
- Resourcefull Unlimited
- Resourcefull Unlimited
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.