Sandra Diane Renne, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 3668 Issued in FL

Practice address

6020 Green Blvd
Naples, FL 34116-4826

Phone

(239) 449-8381

NPI assigned

Jul 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Jose R. Marquina, M.D., P.a.

  • Pulmonary Disease Physician
  • Naples, FL
  • NPI 1033136023
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1689674350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE",
            "address_2": "FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "239-449-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 GREEN BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341164826",
            "telephone_number": "239-449-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNE",
        "first_name": "SANDRA",
        "middle_name": "DIANE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 3668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renaissance Coaching, LLC
• Renal Specialists of Naples Inc
• Fleurancia L Rene
• Renew Regenerative Medicine, LLC
• Renewal Geriatric Primary Care PA
• Renovo Mental Health Corp
• Brittany Lynn Reome, RN
• Joseph John Repay, MD, PT
• Robin Barnes Reph, CNP
• Mandy M Repice, OTRIL

• Physician Assistant in Naples, FL
• Providers in Naples, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.