Renue U Medspa PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RENUE U MEDSPA PC

Practice address

5390 N Academy Blvd Ste 150
Colorado Springs, CO 80918-4064

Phone

(303) 741-0990

Fax

(303) 741-0990

NPI assigned

Jan 6, 2022

Organization subpart

No

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

Authorized official

Name

Francisca Rayos

Title

Billing Manager

Phone

(303) 741-0990

Specialties & licenses 4

Addresses

Other names 1

• Advanced Restore Health Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Advanced Restore Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Renue U Medspa PC

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
  • NPI 1174336127
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Boudreau, AGPCNP

  • Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1558075432
  Medicare reassignment Care Compare group NPD
• Christopher Coram, NURSE PRACTITIONER

  • Physician Assistant
  • Pueblo, CO
  • NPI 1134726391
  Medicare reassignment Care Compare group NPD
• Jill Clarris Henry, FNP-BC

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1942081989
  Medicare reassignment Care Compare group NPD
• Ryan Baack, D.C.

  • Chiropractor
  • Aurora, CO
  • NPI 1841652161
  NPD
• Jacqueline Denise Howard, MD

  • Primary Care Clinic/Center
  • Aurora, CO
  • NPI 1588755458
  NPD

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1811658289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 S GALENA ST STE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123630",
            "telephone_number": "720-741-0990",
            "fax_number": "303-741-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5390 N ACADEMY BLVD STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184064",
            "telephone_number": "303-741-0990",
            "fax_number": "303-741-0990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Inverness Dr East",
            "address_2": "STE 340",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801125139",
            "country_code": "US",
            "telephone_number": "720-328-1771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6825 S Galena St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801123630",
            "country_code": "US",
            "telephone_number": "720-328-1771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENUE U MEDSPA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "RAYOS",
        "authorized_official_first_name": "FRANCISCA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "303-741-0990"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Restore Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renova Counseling LLC
• Ashley D Renslow, MA, CCC-SLP
• Kenny Emmanuel Rentas, MD
• Haley Rentschler
• Renue U Medspa PC
• Alyssa Marie Renville
• Michael Renwick
• Leslie A Renz, MD
• Morgyn Reppart
• Reproductive Medicine & Fertility Center

• Family Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.