JENNY RENVILLE


Address: 4600 Colony Rd Apt D, Charlotte, NC 28226-4833
Phone: 7042779009

JENNY RENVILLE (NPI# 1124670500) 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) 1124670500
Entity Type Individual
Full Name JENNY RENVILLE
Credential MS, CDP, CADDCT
Practice Address 4600 Colony Rd Apt D
Charlotte
NC 28226-4833
Mailing Address Po Box 242363
Charlotte
NC 28224-2363
Practice Telephone 7042779009
Mailing Telephone 7042779009
Enumeration Date 2019-07-15
Last Update Date 2019-07-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TH0100X Psychologist
Specialization: Health Service
Behavioral Health & Social Service Providers
Y 174H00000X Health Educator Other Service Providers

Office Location

Street Address 4600 COLONY RD APT D
City CHARLOTTE
State NC
Zip Code 28226-4833

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841837507 Southeast Vulvar Clinic, Pllc Dermatology 6406 Carmel Road, Suite 309, Charlotte, NC 28226 2019-12-02
1427540012 Kenneth William Riley Jr. Behavioral Analyst 10953 Park Rd., Charlotte, NC 28226 2018-05-31
1780103838 Tamara Andres Specialist/Technologist 2518 Lawton Bluff Rd., Charlotte, NC 28226 2017-09-10
1083132609 Xenon Anesthesia of North Carolina Pllc Anesthesiology 7006 Shannon Willow Road, Charlotte, NC 28226 2017-09-04
1104354117 Lauren Nicole Brindisi Chiropractor 11230 Carmel Commons Blvd., Charlotte, NC 28226 2017-06-03
1346790821 Carolinas Skin Center Pa Plastic Surgery 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 2016-10-10
1871040469 Julie R Jackson Counselor 7810 Prineville-mathews Road, Charlotte, NC 28226 2016-09-01
1518346105 Christopher Abernathy Dentist 3111 Springbank Ln Ste A, Charlotte, NC 28226 2015-05-28
1285067504 Amy N Bullock Physical Therapist 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 2013-08-11
1528405297 Elevate Counseling and Clinical Services, Pllc Community/Behavioral Health 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 2013-06-04
Find all providers in zip 28226

Taxonomy Information

Taxonomy Code 174H00000X
Grouping Other Service Providers
Classification Health Educator

Taxonomy Definition

Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work.
Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366074981 C Delane Jones Health Educator 4316 Hubbard Rd, Charlotte, NC 28269-2375 2020-02-11
1649811779 Brittany Madison Waters Health Educator 5707 Cougar Ln, Charlotte, NC 28269-1514 2019-09-30
1831606110 Jasmine Hardy Health Educator 6824 Democracy Dr, Charlotte, NC 28212-3868 2018-01-08
1740704352 Targetcare, Inc. Health Educator 831 E. Morehead Street, Suite 900, Charlotte, NC 28202 2017-07-26
1336662543 Kaitlyn Yandle Health Educator 4651 Charlotte Park Dr Ste 300, Charlotte, NC 28217-1916 2017-07-19
1932558582 Shelly Stith Health Educator 10719 Whittersham Dr, Charlotte, NC 28262-9207 2016-06-05
1962886754 Shakema Morgan Health Educator 11227 Grass Field Rd, Charlotte, NC 28213-5885 2015-07-12
1063720712 Lugenia Grider Health Educator 9328 Amy Dr, Charlotte, NC 28213-3765 2010-09-15
1225653736 Mary Jane Dale Health Educator 4651 Charlotte Park Dr Ste 300, Charlotte, NC 28217-1916 2020-06-10
1023668787 Dawn Linthicum Health Educator 5108 Reagan Dr Ste 9, Charlotte, NC 28206-1394 2019-09-16
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28226

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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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