JENNY RENVILLE (NPI# 1124670500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
4600 COLONY RD APT D |
City | CHARLOTTE |
State | NC |
Zip Code | 28226-4833 |
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 Code | 174H00000X |
Grouping | Other Service Providers |
Classification | Health Educator |
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] |
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 |
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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.