Jolene Renda, APN/CNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

Practice address

500 E Veterans St
Tomah, WI 54660-3105

Phone

(608) 372-1264

Fax

(608) 372-1259

NPI assigned

Oct 13, 2006

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

Other names 1

• Jolene Rietfort Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588754097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7047 DIVISION RD",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546604365",
            "telephone_number": "608-315-0271",
            "fax_number": "608-372-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E VETERANS ST",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546603105",
            "telephone_number": "608-372-1264",
            "fax_number": "608-372-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDA",
        "first_name": "JOLENE",
        "credential": "APN/CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLENE",
            "last_name": "RIETFORT",
            "credential": "APN/CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn J Reedich, P.T.
• Paula Ann Reese, RDH
• Christopher John Reiff, RN
• Mitchell Reigard
• Adam Joseph Reinart, RN
• Elisabeth Rettler
• Karen Ann Rezin, RKT
• Sarah J Rezin, APNP
• Ann M Richards, RRT
• Derrick Dr Riebe-Lincoln, RN

• Acute Care Nurse Practitioner in Tomah, WI
• Providers in Tomah, WI by specialty
• Acute Care Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.