Individual provider Active NPI

Renee N Blount, CRNP

  • Family Nurse Practitioner
  • Enterprise, AL
National Provider Identifier
1932463072
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-092909 Issued in AL
Practice address
400 N Edwards St
Enterprise, AL 36330-2510
Phone
(334) 347-0584
NPI assigned
Jul 3, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-092909 AL Primary

Addresses

Primary practice location

400 N Edwards St
Enterprise, AL 36330-2510

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

805 E Lee St Ste C
Enterprise, AL 36330-2093
Phone (334) 348-8818

Other names 1

  • Renee N Hvarven Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20120831000252 AL Practitioner - Nurse Practitioner 3173770849 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians

Practice addresses (Care Compare)

126 Hospital Ave
Ozark, AL 36360-2018
Phone (334) 774-2601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-092909ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newgen Alabama Billing LLC CurrentSince Mar 25, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 2, 2023 Accepting new patients
Southern Alabama Physicians LLP Current Accepting new patients
Enterprise Clinic LLC CurrentSince Jul 14, 2012 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 2, 2023 Accepting new patients
Southern Alabama Physicians,LLP CurrentSince Apr 3, 2014 Accepting new patients
QHG of Enterprise Inc Past Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

101 E Brunson St
Ste 110
Enterprise, AL 36330
Phone (334) 347-9355

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

805 E Lee St
Ste C
Enterprise, AL 36330
Phone (334) 348-8818

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

25 Bear Pkwy
Lincoln, AL 35096
Phone (205) 548-4106

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

75 Remit Dr
Chicago, IL 60675

200 Corporate Blvd
Lafayette, LA 70508

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932463072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N EDWARDS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302510",
            "telephone_number": "334-347-0584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 E Lee St Ste C",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "AL",
            "postal_code": "363302093",
            "country_code": "US",
            "telephone_number": "334-348-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "RENEE",
        "middle_name": "N",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-092909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "HVARVEN",
            "middle_name": "N",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.