Active NPI
Rena Dearman, LMT, MMP
- Specialist
- The Woodlands, TX
National Provider Identifier
1629499892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MT113332
- Practice address
- 25301 Borough Park Dr
Suite 120
The Woodlands, TX 77380-3560 - Phone
- (979) 373-8084
- NPI assigned
- Dec 13, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MT113332 | TX | Primary |
Addresses
Primary practice location
25301 Borough Park Dr
Suite 120
The Woodlands, TX 77380-3560
Mailing address
25301 Borough Park Dr
Suite 120
The Woodlands, TX 77380-3560
Phone (979) 373-8084
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT113332 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1629499892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25301 BOROUGH PARK DR",
"address_2": "SUITE 120",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773803560",
"telephone_number": "979-373-8084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25301 BOROUGH PARK DR",
"address_2": "SUITE 120",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773803560",
"telephone_number": "979-373-8084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEARMAN",
"first_name": "RENA",
"credential": "LMT, MMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-13",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "MT113332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.