Renee C.B. Manworren, PHD, APRN, PCNS-BC

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

209014335 Issued in IL

Practice address

225 E. Chicago Avenue, Box 47
Ann & Robert H. Lurie Children'S Hospital of Chicago
Chicago, IL 60611-2991

Phone

(312) 227-0084

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lurie Children'S Medical Group, LLC

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1992758544
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1578649372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 BLACKPOOL DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933127",
            "telephone_number": "972-758-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E. CHICAGO AVENUE, BOX 47",
            "address_2": "ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "312-227-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANWORREN",
        "first_name": "RENEE",
        "middle_name": "C.B.",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN, PCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "TX",
            "license": "617183",
            "primary": false
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "CT",
            "license": "4632",
            "primary": false
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "IL",
            "license": "209014335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manus Northwestern Oral Health Center
• Murray Manus, LCSW
• Robin Manus
• Colton Manusky, DPT
• Christopher Scott Manvel, LPC
• Benjamin Thomas Many, M.D., M.S.
• Shannon Clare Manz
• Marie Caritas Ciar Manzanilla, LMT, CLT
• Hazel B Manzano, MD
• Jasmine Manzano, APRN

• Pediatric Clinical Nurse Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.