Renah LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

RENAH LLC

Practice address

1633 E Kelton LN
Spokane, WA 99208-9193

Phone

(509) 869-5118

Fax

(509) 388-0540

NPI assigned

Apr 1, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Reuben Nyaachi Okemwa, NPNPI 1679243562

Title

Pmhnp

Phone

(469) 693-6744

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

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

• Reuben Nyaachi Okemwa, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
  • NPI 1679243562

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1831941202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 E KELTON LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 E KELTON LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089193",
            "telephone_number": "509-869-5118",
            "fax_number": "509-388-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "OKEMWA",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_middle_name": "NYAACHI",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "469-693-6744",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Luis Eduardo Rendon Cantu, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Spokane, WA
• Providers in Spokane, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.