Shelley Anne Renberg, RN

Primary specialty

College Health Registered NurseTaxonomy code 163WC1400X

License

374652 Issued in CA

Practice address

30277 Avenue 12 RM R6B
Madera, CA 93638-8321

Phone

(559) 675-4814

NPI assigned

Jan 17, 2023

Sex

Female

Sole proprietor

Yes

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1891400552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30277 AVENUE 12 RM R6B",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936388321",
            "telephone_number": "559-675-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30277 AVENUE 12 RM R6B",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936388321",
            "telephone_number": "559-675-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENBERG",
        "first_name": "SHELLEY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "CA",
            "license": "374652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena Reed Reed
• Katherine Reed, LCSW
• Reedley Community Hospital
• Jessica Falco Reedy, NP, RN
• Diane Sayuri Reeves, R.N.
• Isabelle Suzanne Renderos
• Yliana Marie Renteria
• Maria D Resendiz
• Miguel Santiago Restrepo, M.D.
• Maria Georgia Escalante Revilla, DMD

• College Health Registered Nurse in Madera, CA
• Providers in Madera, CA by specialty
• College Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.