Organization Active NPI

Renees Solution Services

  • Family Nurse Practitioner
  • Belleville, IL
National Provider Identifier
1629702253
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
RENEES SOLUTION SERVICES
Doing business as
La'So Medical
Practice address
3909A N Belt W
Belleville, IL 62226-5607
Phone
(618) 746-1142
Fax
(618) 737-0080
NPI assigned
Jul 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Authorized official

Name
Sonda Johnson, NPNPI 1679003628
Title
Owner
Phone
(618) 889-0835

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3909A N Belt W
Belleville, IL 62226-5607

Mailing address

3909A N Belt W
Belleville, IL 62226-5607
Phone (618) 746-1142

Other names 1

  • La'So Medical Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EHR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221027000326 IL Part B Supplier - Clinic/Group Practice 0840666236 Receives reassigned benefits from 1 practitioner
Practice locations: Belleville, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2274370La'So Medical3909A N Belt W, Belleville, IL 62226Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory

Locations

56 S 65th St
Ste 6
Belleville, IL 62223
Phone (618) 746-1142

56 S 65th St
Belleville, IL 62223
Phone (618) 889-0835

3909 N Belt W
Belleville, IL 62226
Phone (618) 746-1142

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": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731110400000",
    "number": "1629702253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909A N BELT W",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265607",
            "telephone_number": "618-746-1142",
            "fax_number": "618-737-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909A N BELT W",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265607",
            "telephone_number": "618-746-1142",
            "fax_number": "618-737-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEES SOLUTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-889-0835",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "ehr HIPAA compliant",
            "address_1": "3909A N Belt W",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "La'So Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "La'So Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.