Active NPI
Melissa Jean Renn, P.T.
- Specialist
- Lincoln, NE
National Provider Identifier
1659388304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1358
- Practice address
- 1900 Otoe St
Lincoln, NE 68502-4640 - Phone
- (402) 328-2794
- NPI assigned
- Aug 2, 2006
- 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 | 1358 | NE | Primary |
Addresses
Primary practice location
1900 Otoe St
Lincoln, NE 68502-4640
Mailing address
1900 Otoe St
Lincoln, NE 68502-4640
Phone (402) 328-2794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1358 | NE | MD | Pediatric Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Invigorating Motion Physical Therapy | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Ashland, NE
- NPI 1760009781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659388304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 OTOE ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685024640",
"telephone_number": "402-328-2794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 OTOE ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685024640",
"telephone_number": "402-328-2794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENN",
"first_name": "MELISSA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NE",
"license": "1358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.