Renae Lynn Wise, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

C-APN.0001492-C-NP Issued in CO

Practice address

630 Southpointe CT
Colorado Springs, CO 80906-3896

Phone

(719) 289-3173

Fax

(866) 718-1677

NPI assigned

May 1, 2019

Last updated

May 1, 2019By the provider in NPPES

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: brightfuturespsychiatryllc.renaewise@139857.advancedmd-direct.com

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.

• Bright Futures Psychiatry LLC

  dba Bright Futures Psychiatry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
  • NPI 1851874010
  NPD (past)
• Bright Futures Psychiatry, LLC

  dba Bright Futures Psychiatry - Hollow Brook

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
  • NPI 1023853975

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1881259224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SOUTHPOINTE CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063896",
            "telephone_number": "719-289-3173",
            "fax_number": "866-718-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 SOUTHPOINTE CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063896",
            "telephone_number": "719-289-3173",
            "fax_number": "866-718-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "RENAE",
        "middle_name": "LYNN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0001492-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wise Mind Counseling
• Alyssa Dawn Wise
• Brian Keith Wise, PH.D., LPC-S, NCC
• Haley Wise, MS, LPC
• Kensi Wise
• Stephanie Wise
• Amanda Wiseman
• Elisha Wisener, LMFT
• James D Wishart, D.D.S.
• Sarah Randi Wiskoski, DMD

• Psychiatric/Mental Health Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.