Individual provider Active NPI

Renessa Joplin, LPN

  • Licensed Practical Nurse
  • Kenosha, WI
National Provider Identifier
1841106705
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
334665-31 Issued in WI
Practice address
3825 39TH Ave Ste 120
Kenosha, WI 53144-2043
Phone
(262) 946-5752
Fax
(262) 946-5765
NPI assigned
Aug 20, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 334665-31 WI Primary

Addresses

Primary practice location

3825 39TH Ave Ste 120
Kenosha, WI 53144-2043

Mailing address

3825 39TH Ave Ste 120
Kenosha, WI 53144-2043
Phone (262) 946-5752

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

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Services and Pharmacotherapy, SC PastSince Jan 21, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1841106705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 39TH AVE STE 120",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531442043",
            "telephone_number": "262-946-5752",
            "fax_number": "262-946-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 39TH AVE STE 120",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531442043",
            "telephone_number": "262-946-5752",
            "fax_number": "262-946-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOPLIN",
        "first_name": "RENESSA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "334665-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.