Organization Active NPI

Renewu Wound and Wellness, LLC

  • Gerontology Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1841903077
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
RENEWU WOUND AND WELLNESS, LLC
Practice address
2106 E Sonterra Blvd Ste 30
San Antonio, TX 78259-7603
Phone
(210) 602-1605
NPI assigned
Jan 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Ms. Brenda Tomasson, NPNPI 1861149486
Title
Ceo
Phone
(210) 602-1605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

2106 E Sonterra Blvd Ste 30
San Antonio, TX 78259-7603

Mailing address

2106 E Sonterra Blvd Ste 30
San Antonio, TX 78259-7603
Phone (210) 602-1605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230525003217 TX Part B Supplier - Clinic/Group Practice 0547626020 Receives reassigned benefits from 2 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

2106 E Sonterra Blvd
Ste 30
San Antonio, TX 78259
Phone (210) 602-1605

2106 E Sonterra Blvd
San Antonio, TX 78259

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1841903077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 E SONTERRA BLVD STE 30",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782597603",
            "telephone_number": "210-602-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 E SONTERRA BLVD STE 30",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782597603",
            "telephone_number": "210-602-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWU WOUND AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "TOMASSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-602-1605",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.