Active NPI
Nycole Jeanne Renfrow, RBT
- Behavior Technician
- Tyler, TX
National Provider Identifier
1811545320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-60559
- Practice address
- 1001 W SW Loop 323
Tyler, TX 75701-9416 - Phone
- (430) 205-8710
- Fax
- (832) 213-3381
- NPI assigned
- Aug 28, 2019
- Last updated
- Aug 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-60559 | TX | Primary |
Addresses
Primary practice location
1001 W SW Loop 323
Tyler, TX 75701-9416
Mailing address
1001 W SW Loop 323
Tyler, TX 75701-9416
Phone (430) 205-8710
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-60559 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1811545320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W SW LOOP 323",
"city": "TYLER",
"state": "TX",
"postal_code": "757019416",
"telephone_number": "430-205-8710",
"fax_number": "832-213-3381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W SW LOOP 323",
"city": "TYLER",
"state": "TX",
"postal_code": "757019416",
"telephone_number": "430-205-8710",
"fax_number": "832-213-3381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENFROW",
"first_name": "NYCOLE",
"middle_name": "JEANNE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-18-60559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.