Individual provider Active NPI

Richard Reeve Renardson, CFA

  • Surgical Technologist
  • Winter Haven, FL
National Provider Identifier
1578540548
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
Practice address
908 Perrin Ave NW
Winter Haven, FL 33881-2356
Phone
(863) 299-2525
Fax
(863) 299-2525
NPI assigned
Dec 29, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X Primary

Addresses

Primary practice location

908 Perrin Ave NW
Winter Haven, FL 33881-2356

Mailing address

908 Perrin Ave NW
Winter Haven, FL 33881-2356
Phone (863) 299-2525

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

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578540548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 PERRIN AVE NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812356",
            "telephone_number": "863-299-2525",
            "fax_number": "863-299-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 PERRIN AVE NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812356",
            "telephone_number": "863-299-2525",
            "fax_number": "863-299-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENARDSON",
        "first_name": "RICHARD",
        "middle_name": "REEVE",
        "name_prefix": "Mr.",
        "credential": "CFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.