Elizabeth R Renker, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

8222 Issued in CT

Practice address

97 Barnes Rd Ste 6
Wallingford, CT 06492-1885

Phone

(203) 265-9890

Fax

(203) 265-3321

NPI assigned

Jul 16, 2019

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)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: erenker281672@xdr.hhchealthdirect.org

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.

• Complete Pediatrics

  • Pediatric Adolescent Medicine Physician
  • North Haven, CT
  • NPI 1871731927

  Pediatrics

  NPD (past)
• Pediatric Medicine of Wallingford LLP

  • Pediatrics Physician
  • Wallingford, CT
  • NPI 1619004975
  NPD (past)

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1790337137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 BARNES RD STE 6",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921885",
            "telephone_number": "203-265-9890",
            "fax_number": "203-265-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 BARNES RD STE 6",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921885",
            "telephone_number": "203-265-9890",
            "fax_number": "203-265-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENKER",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "8222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John W Redmond, MD
• Eva M. Reed, COTA/L
• Regency House of Wallingford, Inc.
• Regenerise Health LLC
• Michael Reiss, M.A., MFT
• Resilience Counseling Services
• Keona Reyes, OT
• Michael Reynolds, LCSW
• Reza Moien MD Internal Medicine LLC
• Nicholas Rezendes, D.P.T.

• All providers in Wallingford, CT
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.