Renewed Health Center, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RENEWED HEALTH CENTER, LLC

Practice address

4175 S Congress Ave Ste D
Palm Springs, FL 33461-4725

Phone

(561) 331-8633

Fax

(561) 600-1494

NPI assigned

Nov 22, 2018

Organization subpart

No

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

Authorized official

Name

Lynda Germeil, APRN

Title

Ao

Phone

(561) 452-8563

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1542844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1801365648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 S CONGRESS AVE STE D",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614725",
            "telephone_number": "561-331-8633",
            "fax_number": "561-600-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 S CONGRESS AVE STE D",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614725",
            "telephone_number": "561-331-8633",
            "fax_number": "561-600-1494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4175 S Congress Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "334614725",
            "country_code": "US",
            "telephone_number": "561-331-8633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEWED HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-22",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "GERMEIL",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "561-452-8563",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001216600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Palm Springs, FL
• Providers in Palm Springs, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.