Renna B Whittredge, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

54160 Issued in MA

Practice address

60 Crescent St
Northampton, MA 01060-2115

Phone

(413) 582-6800

NPI assigned

Sep 1, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Riverbend Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Springfield, MA
  • NPI 1639280779
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316822400000",
    "number": "1952403081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CRESCENT ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602115",
            "telephone_number": "413-582-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CRESCENT ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602115",
            "telephone_number": "413-582-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTREDGE",
        "first_name": "RENNA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2011-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "54160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3014754",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael C White, LADC-II
• Abby Whitman, LICSW
• Reyn Whitman, MSW
• Jessica Whitmore
• Madeline Abigail Whittemore
• Whole Body Healing
• Whole Body Healing, Acupuncture and Wellness
• Whole Health Osteopathy
• Whole Person Institute PC
• Janet Burridge Wholey, PA-C

• Diagnostic Radiology Physician in Northampton, MA
• Providers in Northampton, MA by specialty
• Diagnostic Radiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; 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.