Individual provider Active NPI

Rena Lewis

  • Registered Nurse
  • San Antonio, TX
National Provider Identifier
1871116871
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
910007 Issued in TX
Practice address
11631 Culebra Rd Unit 172
San Antonio, TX 78253-6988
Phone
(210) 988-0850
NPI assigned
May 26, 2020
Last updated
May 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 910007 TX Primary

Addresses

Primary practice location

11631 Culebra Rd Unit 172
San Antonio, TX 78253-6988

Mailing address

4040 Broadway St Ste 240
San Antonio, TX 78209-6300
Phone (210) 721-5048

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Homecare@ardentnursingandhomecareoftexas.com Direct

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

State licenses

LicenseStateTypeSpecialty
910007TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ardent Nursing and Homecare of Texas PLLC CurrentSince May 31, 2020 Accepting new patients

Locations

4040 Broadway
Ste 240
San Antonio, TX 78209
Phone (210) 721-5048

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1871116871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 BROADWAY ST STE 240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782096300",
            "telephone_number": "210-721-5048",
            "fax_number": "210-721-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11631 CULEBRA RD UNIT 172",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536988",
            "telephone_number": "210-988-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "RENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "910007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Homecare@ardentnursingandhomecareoftexas.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11631 Culebra Rd Unit 172",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782536988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 26, 2020; 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.