CAROLINE SAMANTHA RENNER (NPI# 1073112637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073112637 |
| Entity Type | Individual |
| Full Name | CAROLINE SAMANTHA RENNER |
| Credential | MSN |
| Practice Address |
16345 Ne 87th St # B6 Redmond WA 98052-3503 |
| Mailing Address |
955 Powell Ave Sw Renton WA 98057-2908 |
| Practice Telephone | 4258821697 |
| Mailing Telephone | 4252771311 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI61102620 | WA | Dietary & Nutritional Service Providers |
| Street Address |
16345 NE 87TH ST # B6 |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801277983 | Geetha Sridharan | Pediatrics | 16345 Ne 87th St # B6, Redmond, WA 98052-3503 | 2015-06-15 |
| 1407218647 | Phyllis Ying | Family Medicine | 16345 Ne 87th St # B6, Redmond, WA 98052-3503 | 2016-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598306979 | Jessica Gingrich | Dietitian, Registered | 17628 Ne 88th Pl, Redmond, WA 98052-3252 | 2019-10-07 |
| 1457865826 | Kathryn Zacheretti Spottswood | Dietitian, Registered | 10222 167th Pl Ne, Redmond, WA 98052-3124 | 2017-11-21 |
| 1629460035 | Kimberly Boggs | Dietitian, Registered | 6107 230th Ave Ne, Redmond, WA 98053-8154 | 2015-02-22 |
| 1336492099 | Sharyn Saftler | Dietitian, Registered | 16609 Ne 91st St, Redmond, WA 98052-3722 | 2012-10-18 |
| 1457647968 | Kelly Meredith Ornberg | Dietitian, Registered | 1256 Nw Canal Blvd, Redmond, OR 97756 | 2011-06-22 |
| 1801129689 | Michel Leigh Bernotas | Dietitian, Registered | 22842 Ne 42nd St, Redmond, WA 98053-8322 | 2009-09-11 |
| 1952583270 | Dalia Zimmerman | Dietitian, Registered | 2280 Sw Kalama Ave, Redmond, OR 97756-2557 | 2007-11-28 |
| 1417160813 | Lu Ann Marie Lehnertz | Dietitian, Registered | 1253 North Canal Blvd, Redmond, OR 97756 | 2007-05-08 |
| 1811057649 | Marilyn Kay Brill | Dietitian, Registered | 17236 Ne 144th St., Redmond, WA 98052-1177 | 2006-12-11 |
| 1679092183 | Lisa Henderson | Dietitian, Registered | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2017-09-15 |
| Find all providers in REDMOND | ||||
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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.