Rehana Renaud, ANP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209-023695 Issued in IL

Practice address

10260 191St St Ste 100
Mokena, IL 60448-8802

Phone

(708) 425-1907

Fax

(708) 469-4358

NPI assigned

Sep 9, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.70301

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.

• Providea Health Partners, LLC

  • Obstetrics & Gynecology Physician
  • Mokena, IL
  • NPI 1770911208
  Medicare reassignment NPD
• A Lota Healthcare LTD

  • Obstetrics & Gynecology Physician
  • Mokena, IL
  • NPI 1437755147
  NPD

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1902575343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10260 191ST ST STE 100",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488802",
            "telephone_number": "708-425-1907",
            "fax_number": "708-469-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 191ST ST STE 100",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488802",
            "telephone_number": "708-425-1907",
            "fax_number": "708-469-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENAUD",
        "first_name": "REHANA",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-023695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whc@providea.gwaydirect.com",
            "affiliation": "N",
            "endpointDescription": "practice",
            "address_1": "10260 191st St Ste 100",
            "city": "Mokena",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604488802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julia Regan
• Rehablink Direct Distributors
• Kayla Renee Reichert, PT, DPT
• Cristal Reider, APRN, CNP
• Amanda Reiher, MSW, LCSW
• Bethany Rose Rettberg, NP-C
• Ashley Donyae' Richards, BCBA
• Kaylin Richey
• Richmond Sa Services
• Courtney Ann Rimsnider, PHARMD

• Family Nurse Practitioner in Mokena, IL
• Providers in Mokena, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.