Individual provider Active NPI

Leann Marie Rengering, COTA/L

  • Skilled Nursing Facility
  • Concord, CA
National Provider Identifier
1740669779
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3158 Issued in CA
Practice address
4367 Concord Blvd
Concord, CA 94521-1145
Phone
(925) 689-7457
Fax
(925) 689-7473
NPI assigned
May 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3158 CA Primary

Addresses

Primary practice location

4367 Concord Blvd
Concord, CA 94521-1145

Mailing address

4367 Concord Blvd
Concord, CA 94521-1145
Phone (925) 689-7457

Other names 1

  • Ms. Leann Marie Collett Former name

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
3158CAMDSkilled Nursing Facility

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1740669779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4367 CONCORD BLVD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945211145",
            "telephone_number": "925-689-7457",
            "fax_number": "925-689-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4367 CONCORD BLVD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945211145",
            "telephone_number": "925-689-7457",
            "fax_number": "925-689-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENGERING",
        "first_name": "LEANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "3158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANN",
            "last_name": "COLLETT",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.