Renata A Hennell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27-2803 Issued in OR

Practice address

88267 N Territorial Rd
Suite 5
Veneta, OR 97487-9499

Phone

(541) 935-3777

Fax

(541) 935-2412

NPI assigned

Jun 30, 2005

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Eugene Physical Therapy, LLC

  • Physical Therapist
  • Eugene, OR
  • NPI 1992796452
  NPD (past)
• Heresco Chiropractic and Associates PC

  • Chiropractor
  • Corvallis, OR
  • NPI 1326045626
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922005339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "MAPLETON",
            "state": "OR",
            "postal_code": "974530538",
            "telephone_number": "541-935-3777",
            "fax_number": "541-935-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88267 N TERRITORIAL RD",
            "address_2": "SUITE 5",
            "city": "VENETA",
            "state": "OR",
            "postal_code": "974879499",
            "telephone_number": "541-935-3777",
            "fax_number": "541-935-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNELL",
        "first_name": "RENATA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-2803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Brooke Force, DPT
• Ryan P Frome, D.V.M.
• G Street Integrated Health
• Shane Alan Gofourth, D.C.
• Jamie B Grover, L.M.T.
• Joel Allen Henson, RPH
• Dennice Hernandez, ANP
• Elizabeth Jane Hoffmann, DVM
• Icco, LLC
• Icco, LLC

• All providers in Veneta, OR
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.