Carolyn Marie Renner, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

004 Issued in WY

Practice address

175 S 5TH St
Lander, WY 82520-3001

Phone

(307) 349-1297

Fax

(307) 349-1297

NPI assigned

Jan 12, 2011

Last updated

Oct 7, 2024By the provider in NPPES

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

Enrolled in WY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Nutrition Works LLC

  • Registered Dietitian
  • Lander, WY
  • NPI 1922839117

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Northwest Telepsychiatry, PC

  • Psychiatry Physician
  • Boise, ID
  • NPI 1568025336
  NPD
• Memorial Hospital of Converse County

  • General Practice Physician
  • Douglas, WY
  • NPI 1356496491
  NPD (past)

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1962707687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 INDIAN LOOKOUT DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203057",
            "telephone_number": "307-349-1297",
            "fax_number": "307-335-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S 5TH ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203001",
            "telephone_number": "307-349-1297",
            "fax_number": "307-349-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNER",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WY",
            "license": "004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Rangitsch, M.D.
• Daniel NMN Ratigan, M.D.
• Tonie Marie Ratliff, CSW - 121
• Colleen Redding
• Gina M Reed, PPC
• Frankie Rinker
• Rise Medical Practice, LLC
• Debra Rivera, M.S.,CCC-SLP
• Riverton Memorial Hospital LLC (SageWest Health Care)
• Erin Nicole Robinson, MS, CCC-SLP

• Registered Dietitian in Lander, WY
• Providers in Lander, WY by specialty
• Registered Dietitian in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.