Jessica Rensner, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP009264 Issued in PA

Practice address

555 Rivergate Ste B1-109
Durango, CO 81301-7473

Phone

(970) 422-8694

Fax

(970) 422-8696

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• 4 Corners Children'S Clinic

  • Pediatric Nurse Practitioner
  • Durango, CO
  • NPI 1144832981

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1861539942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 RIVERGATE # B-109",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017470",
            "telephone_number": "970-422-8694",
            "fax_number": "970-422-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 RIVERGATE STE B1-109",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017473",
            "telephone_number": "970-422-8694",
            "fax_number": "970-422-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENSNER",
        "first_name": "JESSICA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP009264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan James Reed, PMHNP-BC APN
• Steven Reed, D.D.S.
• Douglas M Reid, DMD
• Melissa Roseann Reitman, P.T.
• Amanda Blake Rennaker
• Stacy Ann Reuille Dupont, PHD
• Revive Colorado, PC
• Rhizome Counseling LLC
• Joanne Christine Rhodus, SLP, BCBA
• Levi Andrew Rice Jr., D.O.

• Pediatric Nurse Practitioner in Durango, CO
• Providers in Durango, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.