Organization Active NPI

Renata B Sturdivant

  • Oxygen Equipment & Supplies (DME)
  • San Antonio, TX
National Provider Identifier
1619274156
Registry record updated Feb 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
RENATA B STURDIVANT
Doing business as
Regional Wellness Associates
Practice address
7503 Riverside Park Dr
San Antonio, TX 78249-4324
Phone
(309) 258-1194
NPI assigned
Feb 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2011

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

Authorized official

Name
Ms. Renata Sturdivant, B.S., RRTNPI 1720385867
Title
Sole Proprietor
Phone
(309) 258-1194

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Adult Care Home Facility 311ZA0620X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

7503 Riverside Park Dr
San Antonio, TX 78249-4324

Mailing address

3516 W Mary Knoll CT
Peoria, IL 61615-3727
Phone (309) 258-1194

Other names 1

  • Regional Wellness Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298073600000",
    "number": "1619274156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 W MARY KNOLL CT",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616153727",
            "telephone_number": "309-258-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7503 RIVERSIDE PARK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494324",
            "telephone_number": "309-258-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENATA B STURDIVANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-19",
        "status": "A",
        "authorized_official_last_name": "STURDIVANT",
        "authorized_official_first_name": "RENATA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "309-258-1194",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S., RRT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Wellness Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2011; 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.