RENU CHATTANOOGA, PLLC (NPI# 1396288890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396288890 |
| Entity Type | Organization |
| Organization Name | RENU CHATTANOOGA, PLLC |
| Other Organization Name | RENU CHATTANOOGA |
| Practice Address |
5870 Highway 153 Ste 122 Hixson TN 37343-5826 |
| Mailing Address |
979 E 3rd St Suite 240 Chattanooga TN 37403-2136 |
| Practice Telephone | 4232433342 |
| Practice Fax Number | 4234028155 |
| Mailing Telephone | 4232433330 |
| Mailing Fax Number | 4236486487 |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | PAULA CHRISTINE NICOLA (FACILITY DIRECTOR/OWNER) |
| Authorized Official Telephone | 4232433342 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
0000037970 | TN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ReNu Chattanooga | Doing Business As Name - Organization |
| Street Address |
5870 HIGHWAY 153 STE 122 |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-5826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447293428 | Karen Avery | Emergency Medicine | 5870 Highway 153 Ste 122, Hixson, TN 37343-5826 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649764911 | Addiction Center of Nashville LLC | Internal Medicine | 1300 Hatcher Ln Ste 5, Columbia, TN 38401-3554 | 2018-06-19 |
| 1801345285 | Cedar Recovery Center of Middle Tennessee | Internal Medicine | 2636 N Mount Juliet Rd, Mount Juliet, TN 37122-8015 | 2016-09-27 |
| 1508988650 | Murray Wilton Smith | Internal Medicine | 2 Sharonwood Dr, Nashville, TN 37215-1227 | 2007-04-06 |
| 1871623801 | Roland W Gray | Internal Medicine | 3410 Clarksville Hwy, Nashville, TN 37218 | 2007-03-07 |
| 1598859894 | Lorin G Holst | Internal Medicine | 930 Adell Ree Park Ln, Knoxville, TN 37909-2543 | 2006-10-03 |
| 1972126837 | Volunteer Healing Centers, LLC | Internal Medicine | 622 Wilson Ave, Tullahoma, TN 37388-3265 | 2020-05-26 |
| 1497232540 | Applachian Recovery Care, Pllc | Internal Medicine | 2726 W State St, Bristol, TN 37620-1827 | 2018-07-22 |
| 1700377710 | John Robert Barrowclough, Md, Pllc | Internal Medicine | 2726 W State St, Bristol, TN 37620-1827 | 2018-05-24 |
| 1598256117 | Emmaus Medical and Counseling | Internal Medicine | 273 Highway 11 E, Bulls Gap, TN 37711-3433 | 2018-05-21 |
| 1710477450 | O.h.s. East Knoxville Clinic | Internal Medicine | 8712 Asheville Hwy, Knoxville, TN 37924-4501 | 2018-05-17 |
| Find all providers with the same taxonomy | ||||
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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.