CAROL RENNINGER (NPI# 1023001013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023001013 |
| Entity Type | Individual |
| Full Name | CAROL RENNINGER |
| Credential | LISW |
| Practice Address |
1960 N Date St T Or C NM 87901-3701 |
| Mailing Address |
255 Hwy 187 Hatch NM 87937-0370 |
| Practice Telephone | 5052673088 |
| Practice Fax Number | 5052671747 |
| Mailing Telephone | 5052673088 |
| Mailing Fax Number | 5052671747 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
I05359 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 92320848 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700862208 | Carol A Renninger | Physician Assistant | 1 Munro Dr, Samuel Call Health Services Center, Cape May, NJ 08204-5000 | 2005-12-16 |
| Street Address |
1960 N DATE ST |
| City | T OR C |
| State | NM |
| Zip Code | 87901-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154314177 | Leroy Baca | Dentist | 1960 N Date St, T Or C, NM 87901-3701 | 2005-08-24 |
| 1861027179 | Rebecca Joy Hobbs | Nurse Practitioner | 1960 N Date St, T Or C, NM 87901-3701 | 2020-03-06 |
| 1760038368 | Brenda F Bongetta | Physician Assistant | 1960 N Date St, T Or C, NM 87901 | 2019-08-11 |
| 1285295667 | Mary Ellen Hatcher | Nurse Practitioner | 1960 N Date St, T Or C, NM 87901-3701 | 2019-06-26 |
| 1861961930 | Kimberly A Hill | Nurse Practitioner | 1960 N Date St, T Or C, NM 87901-3701 | 2018-11-19 |
| 1801203906 | Jenna Lotz | Dentist | 1960 N Date St, T Or C, NM 87901-3701 | 2014-07-21 |
| 1386810331 | Myrna L Policarpio | Dentist | 1960 N Date St, T Or C, NM 87901-3701 | 2008-04-30 |
| 1306037635 | Verna Deal | Dental Hygienist | 1960 N Date St, T Or C, NM 87901-3701 | 2007-08-01 |
| 1801889209 | Mark Wiatt | Dentist | 1960 N Date St, T Or C, NM 87901-3701 | 2005-08-31 |
| 1437142429 | Carol Morrell | Physician Assistant | 1960 N Date St, T Or C, NM 87901-3701 | 2005-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548769011 | Michele Foss | Social Worker | 801 Smith Ave, T Or C, NM 87901 | 2018-02-09 |
| 1487195368 | Steve Stewart | Hospitalist | 800 E. 9th Avenue, Truth Or Consequences, NM 87901 | 2017-03-13 |
| 1750837316 | Klanese Krystal Hatley | Occupational Therapy Assistant | 180 N. Date Street, T Or C, NM 87901 | 2016-09-01 |
| 1932513025 | Karen Grace Gullett | Registered Nurse | 800 East Ninth Ave, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2014-06-17 |
| 1306269824 | Mary Louise Masingale | Case Manager/Care Coordinator | 1714 Carrie St., Truth Or Consequences (t. Or C), NM 87901 | 2014-02-04 |
| 1548402555 | Faustino C. Froilan | Internal Medicine | 800 East Ninth Avenue, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2009-04-06 |
| 1285874735 | Lesley Jo Ping | Occupational Therapy Assistant | 1400 Silver St., Torc, NM 87901 | 2009-02-24 |
| 1437205978 | Bernie Hewett | Ophthalmology | 518 Date, Truth Or Consequences, NM 87901 | 2007-01-26 |
| 1497806764 | Ambercare Medical Supply Company. | Durable Medical Equipment & Medical Supplies | 908 N Date St, T Or C, NM 87901 | 2007-01-15 |
| 1831285568 | Constance Mae Moore | Chiropractor | 310 N. Broadway, Truth Or Consequences, NM 87901 | 2006-10-04 |
| Find all providers in zip 87901 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194142729 | Sherilyn Marie Oberlin | Counselor | 614 Mcadoo St Ste B, T Or C, NM 87901-2706 | 2014-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163481 | Metta Therapeutics LLC | Counselor | 6505 Kaas Trail Ct Ne, Albuquerque, NM 87111-7114 | 2020-10-29 |
| 1679173827 | Joann Elizabeth Mitchell | Counselor | 620 Teresa Ct Se, Rio Rancho, NM 87124-2382 | 2020-10-27 |
| 1184222507 | Teddie Chambers-ruiz | Counselor | 536 Los Lentes Rd Se, Los Lunas, NM 87031-7052 | 2020-10-16 |
| 1740888247 | Patricia Garcia | Counselor | 2006 Southern Blvd Se Ste 202, Rio Rancho, NM 87124-3758 | 2020-10-15 |
| 1467059428 | Danielle Lorraine Mascarenas | Counselor | 932 Tulip Rd Se, Rio Rancho, NM 87124-3858 | 2020-10-02 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1548877855 | Gerasimos Demosthenis Klonis | Counselor | 100 6th St S, Socorro, NM 87801-4139 | 2020-09-30 |
| 1962019349 | Marlina Charisse Mccall | Counselor | 6720 Boca Negra Pl Nw, Albuquerque, NM 87120-1327 | 2020-09-29 |
| 1619584182 | Marybeth Hallman | Counselor | 1219 Luisa St Ste 10, Santa Fe, NM 87505-4176 | 2020-09-28 |
| 1619583366 | Kelsey Ullrich | Counselor | 409 Alejandro Street, Guest House, Santa Fe, NM 87501-8750 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.