Active NPI
Renay Ann Bemiller
- Transportation Broker
- Wakarusa, IN
National Provider Identifier
1669017794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- License
- 8942-92-6102
- Practice address
- 102 Westgate Blvd
Wakarusa, IN 46573-8507 - Phone
- (574) 612-3757
- NPI assigned
- Nov 13, 2019
- Last updated
- Nov 13, 2019
- 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 |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | 8942-92-6102 | IN | Primary |
Addresses
Primary practice location
102 Westgate Blvd
Wakarusa, IN 46573-8507
Mailing address
102 Westgate Blvd
Wakarusa, IN 46573-8507
Phone (574) 612-3757
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1669017794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WESTGATE BLVD",
"city": "WAKARUSA",
"state": "IN",
"postal_code": "465738507",
"telephone_number": "574-612-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 WESTGATE BLVD",
"city": "WAKARUSA",
"state": "IN",
"postal_code": "465738507",
"telephone_number": "574-612-3757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEMILLER",
"first_name": "RENAY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-13",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "IN",
"license": "8942-92-6102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wakarusa, IN
- Greg Michael Adams, D.C.
- John M Arnold, CP
- At Home Quality Care Non Medical SVC.
- Andrew Roger Bayak
- Beacon Medical Group, Inc. (Beacon Medical Group Wakarusa)
- Bridget Bobeck, OTR
- Heidi Brown, LMT, RN, CFNC, CNP
- Choose Joy Counseling Services LLC
- Jeffrey Clements, PHARMD
- Geraldine Elizabeth Darkwood, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.