Renee Alison Mae Kenton

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5234884 Issued in FL

Practice address

4553 Watkins St
Pace, FL 32571-2511

Phone

(850) 800-2772

NPI assigned

Mar 25, 2022

Last updated

Mar 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1811647688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6665 WARREN RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325837666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4553 WATKINS ST",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712511",
            "telephone_number": "850-800-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENTON",
        "first_name": "RENEE",
        "middle_name": "ALISON MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5234884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Jordan
• JSJ of Northwest Fla, Inc
• Tracy L Judge, RPH
• Zaher Kalaji, MD
• Kristin Kelly, D.C.
• Jarod Keremes, BCABA
• Tuan Quoc Khuu, PHARMD
• Kids Care Pediatrics of NW FL. Inc
• Kids Talk Place LLC
• Robert Gerald Kincaid III, D.O.

• Licensed Practical Nurse in Pace, FL
• Providers in Pace, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.