Individual provider Active NPI

Nicole Claudine Render

  • Registered Nurse
  • Moreno Valley, CA
National Provider Identifier
1720775745
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
571167 Issued in CA
Practice address
27754 Corte del Sol
Moreno Valley, CA 92555-5933
Phone
(951) 965-2943
NPI assigned
Apr 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 571167 CA Primary

Addresses

Primary practice location

27754 Corte del Sol
Moreno Valley, CA 92555-5933

Mailing address

27754 Corte del Sol
Moreno Valley, CA 92555-5933
Phone (951) 965-2943

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

State licenses

LicenseStateTypeSpecialty
571167CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1720775745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27754 CORTE DEL SOL",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925555933",
            "telephone_number": "951-965-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27754 CORTE DEL SOL",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925555933",
            "telephone_number": "951-965-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDER",
        "first_name": "NICOLE",
        "middle_name": "CLAUDINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "571167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.