Active NPI
Valerie Lopez Rennon, NP RN
- Registered Nurse
- Clinton Township, MI
National Provider Identifier
1669365466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704366316
- Practice address
- 44575 Garfield Rd
Clinton Township, MI 48038-1139 - Phone
- (586) 445-7999
- NPI assigned
- May 30, 2025
- Last updated
- May 30, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 104756825 | MI | |
| Registered Nurse | 163W00000X | 4704366316 | MI | Primary |
Addresses
Primary practice location
44575 Garfield Rd
Clinton Township, MI 48038-1139
Mailing address
34317 Dante Dr
Chesterfield, MI 48047-3286
Phone (972) 998-3641
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
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704366316 | MI | MD | Registered Nurse |
| 104756825 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadian Clinic PLLC | Past | Accepting new patients |
Interoperability endpoints
- valerie.rennon@3389.securemail.prognocis.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Allen Park, MI
- NPI 1083119705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1669365466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34317 DANTE DR",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480473286",
"telephone_number": "972-998-3641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44575 GARFIELD RD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381139",
"telephone_number": "586-445-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENNON",
"first_name": "VALERIE",
"middle_name": "LOPEZ",
"credential": "NP RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-30",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "104756825",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704366316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.