Organization Active NPI

Christelle Renta LLC

Doing business as The Restoration Place Clinic

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1932808904
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CHRISTELLE RENTA LLC
Doing business as
The Restoration Place Clinic
Practice address
141 Terra Mango Loop Ste B
Orlando, FL 32835-8510
Phone
(407) 730-9027
Fax
(760) 313-9592
NPI assigned
Feb 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Christelle Faith RentaNPI 1326386046
Title
Nurse Practitioner
Phone
(407) 587-6406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

141 Terra Mango Loop Ste B
Orlando, FL 32835-8510

Mailing address

15535 Citrus Harvest Rd
Winter Garden, FL 34787-9253
Phone (407) 587-6406

Other names 1

  • The Restoration Place Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

141 Terra Mango Loop
Ste B
Orlando, FL 32835
Phone (407) 587-6406

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1932808904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15535 CITRUS HARVEST RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879253",
            "telephone_number": "407-587-6406",
            "fax_number": "760-313-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 TERRA MANGO LOOP STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358510",
            "telephone_number": "407-730-9027",
            "fax_number": "760-313-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTELLE RENTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "RENTA",
        "authorized_official_first_name": "CHRISTELLE",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "407-587-6406"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Restoration Place Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.