Renee Anne Dwyer, MS, LAT, ATC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

228444 Issued in CT

Practice address

1 Lake St BLDG D
New Britain, CT 06052-1396

Phone

(860) 348-4820

Fax

(860) 348-4931

NPI assigned

Apr 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1821051061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CEDAR HOLLOW DR",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAKE ST BLDG D",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521396",
            "telephone_number": "860-348-4820",
            "fax_number": "860-348-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "RENEE",
        "middle_name": "ANNE",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "000239",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "228444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merrill D Dunn, DMD
• Kristen Dunne
• Victor J Duphily III, LPC
• Sharlene Keisha Duplessis, LCSW
• Julio Rene Duran Jr., APRN
• Rachelle Valdez Dyquiangco, M.D.
• Julie Elise Dyson, LPC
• Jessica Dzierlatka, LCSW
• Kristina Dzwonchyk, RRT CPFT
• Ear Nose & Throat Specialists of Central Connecticut P.C.

• Registered Nurse in New Britain, CT
• Providers in New Britain, CT by specialty
• Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.