Individual provider Active NPI

Renee A Tornatore, DC

  • Chiropractor
  • Corydon, IN
National Provider Identifier
1710023957
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001935A Issued in IN
Practice address
2230 Edsel LN NW Ste 1
Corydon, IN 47112-2136
Phone
(812) 734-1020
Fax
(812) 225-5145
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001935A IN Primary

Addresses

Primary practice location

2230 Edsel LN NW Ste 1
Corydon, IN 47112-2136

Mailing address

PO Box 221273
Louisville, KY 40252-1273
Phone (812) 734-1020

Other identifiers 4

IdentifierTypeStateIssuer
000000293597OtherINANTHEM BCBS
7697812OtherCIGNA
P00107238OtherRAILROAD MEDICARE
200291490MedicaidIN

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1710023957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221273",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402521273",
            "telephone_number": "812-734-1020",
            "fax_number": "812-225-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 EDSEL LN NW STE 1",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122136",
            "telephone_number": "812-734-1020",
            "fax_number": "812-225-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORNATORE",
        "first_name": "RENEE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001935A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000293597",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7697812",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00107238",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200291490",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.