Renew Health and Wellness

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

RENEW HEALTH AND WELLNESS

Practice address

18805 W Catawba Ave Ste 100
Cornelius, NC 28031-4608

Phone

(704) 612-0011

NPI assigned

Apr 7, 2020

Last updated

Feb 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Micah Kirscher, NP-CNPI 1821546326

Title

Owner

Phone

(704) 310-1175

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Micah Kirscher

  • Nurse Practitioner
  • Cornelius, NC
  • NPI 1821546326
  Authorized official Same address or phone

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1881223139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18805 W CATAWBA AVE STE 100",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314608",
            "telephone_number": "704-612-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18805 W CATAWBA AVE STE 100",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314608",
            "telephone_number": "704-612-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19824 W Catawba Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "NC",
            "postal_code": "280314046",
            "country_code": "US",
            "telephone_number": "704-612-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEW HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "KIRSCHER",
        "authorized_official_first_name": "MICAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-310-1175",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theo C Reeves Sr.
• Rehab Dimensions, Inc.
• Taylor Reid
• Brooke Emily Reiner
• Renew Health and Wellness
• Renew Speciality Group
• Renew Wound Care Center PLLC
• Renew Wound Care Specialists
• Justin Ryan Resetar
• Resiliency Family Therapy, PLLC

• Nurse Practitioner in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.