JOSE LUIS RENTERIA (NPI# 1053704361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053704361 |
| Entity Type | Individual |
| Full Name | JOSE LUIS RENTERIA |
| Credential | ACNP |
| Practice Address |
1905 19th St Great Bend KS 67530-2502 |
| Mailing Address |
1718 Odell St Great Bend KS 67530-2419 |
| Practice Telephone | 6207925700 |
| Mailing Telephone | 6207868783 |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
53-76710-092 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447658398 | Jose Renteria | Case Manager/Care Coordinator | 8957 Mission Ln, Las Cruces, NM 88012-6540 | 2014-12-09 |
| 1720480650 | Jose Renteria | Counselor | 15229 Amar Rd, La Puente, CA 91744-2066 | 2014-09-23 |
| 1881948891 | Jose Antonio Renteria | Physical Therapy Assistant | 6220 S Alaska St, Tacoma, WA 98408-1317 | 2012-10-30 |
| Street Address |
1905 19TH ST |
| City | GREAT BEND |
| State | KS |
| Zip Code | 67530-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014990 | Bradley J Hill | Physician Assistant | 1905 19th St, Great Bend, KS 67530-2502 | 2005-06-24 |
| 1497369318 | Nora Kathleen Nokes | Nurse Practitioner | 1905 19th St, Great Bend, KS 67530-2502 | 2020-09-08 |
| 1427668334 | Le Ann M Petersilie | Social Worker | 1905 19th St, Great Bend, KS 67530-2502 | 2020-08-05 |
| 1679052633 | Jessie M Sloan | Social Worker | 1905 19th St, Great Bend, KS 67530-2502 | 2018-08-10 |
| 1891200952 | Amy Nicole Wetzel | Nurse Practitioner | 1905 19th St, Great Bend, KS 67530-2502 | 2017-12-11 |
| 1821446568 | Arika Fanshier | Nurse Practitioner | 1905 19th St, Great Bend, KS 67530-2502 | 2016-06-02 |
| 1982099685 | Deana J Schwartzkopf | Nurse Practitioner | 1905 19th St, Great Bend, KS 67530-2502 | 2015-03-31 |
| 1942574512 | Amber N Wilder | Counselor | 1905 19th St, Great Bend, KS 67530-2502 | 2012-02-29 |
| 1538462239 | Rita Ann O'gwin | Social Worker | 1905 19th St, Great Bend, KS 67530-2502 | 2010-12-19 |
| 1588994800 | Jannifer L Boucher | Counselor | 1905 19th St, Great Bend, KS 67530-2502 | 2010-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
| 1972113678 | Sarah Schenek | Counselor | 1819 11th Street, Great Bend, KS 67530 | 2020-08-06 |
| 1407471840 | Joanne Renee Wondra | Counselor | 801 Patton Road, Great Bend, KS 67530 | 2020-06-11 |
| 1144852302 | Rosenberg Dentistry: Joe Rosenberg Dds. Pa | Dentist | 1037 Sheridan Suite D, Great Bend, KS 67530 | 2020-02-06 |
| 1265895908 | Kayti Trapp | Physical Therapy Assistant | 1514 Ks-96 Hwy, Great Bend, KS 67530 | 2016-03-31 |
| 1083732069 | Drew Andrew Hosman Sr. | Counselor | 1105 Main St Ste D, Great Bend, KS 67530 | 2007-03-27 |
| 1912060435 | Larry G Kutina | Dentist | 3820 6th Street, Great Bend, KS 67530 | 2006-12-18 |
| 1144308883 | Hcc-healthcare of Great Bend, LLC | Skilled Nursing Facility | 1560 K96 Highway, Great Bend, KS 67530 | 2006-11-01 |
| 1841370699 | Edward Lake Jones | Pathology | 2001 Lincoln, Great Bend, KS 67530 | 2006-10-16 |
| 1407955529 | William G Hafner | Chiropractor | 1309 Williams St., Great Bend, KS 67530 | 2006-09-22 |
| Find all providers in zip 67530 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598936981 | Diane E. Haines | Nurse Practitioner | 514 Cleveland St, Great Bend, KS 67530-3562 | 2008-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076669 | Rachel Samantha Gromala | Nurse Practitioner | 1035 N Emporia Ave Ste 105, Wichita, KS 67214-2998 | 2020-09-04 |
| 1538772033 | Tony Lynell Sanders | Nurse Practitioner | 11914 W 49th Pl, Shawnee, KS 66216-1369 | 2020-08-25 |
| 1154948479 | Kathleen Rutschman | Nurse Practitioner | 106 Se 12th, Newton, KS 67114-6711 | 2020-07-02 |
| 1972142404 | Lindsay Renae Holman | Nurse Practitioner | 1218 Loring St, Haysville, KS 67060-1923 | 2020-01-01 |
| 1609418714 | Elizabeth Mccoy Schraeder | Nurse Practitioner | 12021 Slater St, Overland Park, KS 66213-1556 | 2019-10-09 |
| 1457709859 | Amy Stutzman | Nurse Practitioner | 715 Medical Center Dr Ste 100, Newton, KS 67114-9056 | 2016-05-26 |
| 1780066779 | Kara Hentzen | Nurse Practitioner | 1811 N Northwest Pkwy, Wichita, KS 67212-1485 | 2015-06-25 |
| 1215206966 | Kandy Rose Powers | Nurse Practitioner | 2330 Shawnee Mission Pkwy Ste 1102, Westwood, KS 66205-2005 | 2011-12-27 |
| 1386965259 | Nicole Hedberg | Nurse Practitioner | Ku Neurosurgery 3901 Rainbow Blvd, Mail Stop 3021, Kansas City, KS 66160-0001 | 2010-06-15 |
| 1699862318 | Debra E Wagner | Nurse Practitioner | 1100 N Saint Francis St Ste 130, Wichita, KS 67214-2865 | 2006-10-06 |
| Find all providers with the same taxonomy | ||||
| City | GREAT BEND |
| Zip Code | 67530 |
Please comment or provide details below to improve the information on JOSE LUIS RENTERIA.
| 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.