Individual provider Active NPI

Paula Jeanette Renouf, PNP

  • Pediatric Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1730340654
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
451852 Issued in CA
Practice address
240 Shotwell St
Mission Neighborhood Health Center
San Francisco, CA 94110-1323
Phone
(415) 552-3870
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 451852 CA Primary

Addresses

Primary practice location

240 Shotwell St
Mission Neighborhood Health Center
San Francisco, CA 94110-1323

Mailing address

2 Central Tce
Kelburn
Wellington, NZ 6012
NZ
Phone (642) 186-6458

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
451852CAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1730340654",
    "addresses": [
        {
            "country_code": "NZ",
            "country_name": "New Zealand",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "2 CENTRAL TCE",
            "address_2": "KELBURN",
            "city": "WELLINGTON",
            "state": "NZ",
            "postal_code": "6012",
            "telephone_number": "642-186-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SHOTWELL ST",
            "address_2": "MISSION NEIGHBORHOOD HEALTH CENTER",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101323",
            "telephone_number": "415-552-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENOUF",
        "first_name": "PAULA",
        "middle_name": "JEANETTE",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "451852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.