MRS. MEGAN KAYLA RENNER


Address: 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221
Phone: 8506866257

MRS. MEGAN KAYLA RENNER (NPI# 1093135246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093135246
Entity Type Individual
Full Name MRS. MEGAN KAYLA RENNER
Credential PA-C
Practice Address 1703 Lewis Turner Blvd
Fort Walton Beach
FL 32547-1221
Mailing Address 2090 Palmetto Lake Dr
Navarre
FL 32566-2998
Practice Telephone 8506866257
Mailing Telephone 8506866257
Enumeration Date 2014-04-25
Last Update Date 2020-05-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA9108720 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers MEGAN RENNER

NPI Name Taxonomy Address Enumeration
1114402229 Megan Renner Behavior Technician 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598 2018-09-25
1639583073 Megan Renner Family Medicine 1475 Kisker Rd Ste 200, Saint Charles, MO 63304-8788 2014-06-13

Office Location

Street Address 1703 LEWIS TURNER BLVD
City FORT WALTON BEACH
State FL
Zip Code 32547-1221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104818111 Kathryn Anne Stevens Obstetrics & Gynecology 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221 2005-08-16
1578774642 Carolyn Mcgrail Obstetrics & Gynecology 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221 2007-05-24
1174677124 Patrick Thomas Mcgraw Surgery 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221 2007-01-23
1518975143 Obstetrics & Gynecology Pa Obstetrics & Gynecology 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221 2006-08-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255944955 Theresa Ann Morvay Behavior Technician 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 2020-08-24
1588295422 Emily Ann Glossop Nurse Practitioner 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 2020-01-29
1225669443 Elizabeth Rogers Nagengast Physician Assistant 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 2020-01-27
1497254791 Carmen Alston Nurse Practitioner 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 2018-02-02
1871004960 Center for Neuropsychological Services Cns Clinical Neuropsychologist 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 2017-10-17
1194235648 Robin Wray Speech-Language Pathologist 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 2017-10-10
1285007989 Dynamic Pain & Wellness Pllc Pain Medicine 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 2015-11-04
1013392810 Terry Abbott Social Worker 648 Overbrook Dr, Fort Walton Beach, FL 32547 2015-07-22
1083024673 Emily Lohr Physical Therapy Assistant 2000 Principle Ln, Ft. Walton Beach, FL 32547 2014-05-05
1831526102 Laurie Ann Schweppe Nurse Practitioner 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 2013-10-02
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245229178 Gary Richard Sneller II Physician Assistant 1034 Mar Walt Dr Unit 100, Fort Walton Beach, FL 32547-6637 2005-10-13
1316445497 Rebecca Harris Physician Assistant 341 Racetrack Rd Nw Ste C, Fort Walton Beach, FL 32547-1788 2018-01-24
1134371271 Kelsie Leeanne Yang Physician Assistant 907 Mar Walt Dr, Suite 2024, Fort Walton Beach, FL 32547-6960 2008-10-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811598691 Monica Nancy Ginocchio Physician Assistant 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 2020-11-06
1427657055 Alyson Ryall Physician Assistant 480 Ventura Pl, Vero Beach, FL 32963-4262 2020-10-24
1104436476 Forrest Joseph Steslow Physician Assistant 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 2020-08-03
1063039576 Joshua Bras Prewitt Physician Assistant 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 2020-06-30
1003443904 Sheila Rhinehart Physician Assistant 981 Tarpon Ave, Sebastian, FL 32958-5147 2020-03-23
1952932493 Lisel Spieler Physician Assistant 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 2020-02-03
1326685991 Nikolai X Lincavage Physician Assistant 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 2019-12-03
1356984686 Zane K Jude Physician Assistant 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 2019-10-18
1720635998 Jose R Munoz Physician Assistant 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 2019-08-22
1811559578 Sydney Gillen Physician Assistant 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 2019-07-02
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Competitor

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City FORT WALTON BEACH
Zip Code 32547

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Dataset Information

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.

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