MARY-JO RENZ (NPI# 1457356222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457356222 |
| Entity Type | Individual |
| Full Name | MARY-JO RENZ |
| Credential | ARNP |
| Practice Address |
1560 N 115th St Ste 201 Seattle WA 98133-8414 |
| Mailing Address |
Po Box 33450 Seattle WA 98133-0450 |
| Practice Telephone | 2063681244 |
| Practice Fax Number | 2063681270 |
| Mailing Telephone | 2063681244 |
| Mailing Fax Number | 2063681270 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2008-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP30002251 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9629858 | 05 | |
| WA | RAILROAD MEDICARE | P00135135 | 01 |
| Street Address |
1560 N 115TH ST STE 201 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-8414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073579850 | Northwest Hospital Providers Trust | Nurse Practitioner | 1560 N 115th St Ste 201, Seattle, WA 98133-8414 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619377587 | Phiroce Ishaque, LLC | Nurse Practitioner | 5414 Barnes Ave Nw Ste 1, Seattle, WA 98107-3839 | 2014-08-28 |
| 1700217155 | Elisa Martin | Nurse Practitioner | 6025 Vassar Ave Ne, Seattle, WA 98115-7622 | 2013-12-11 |
| 1811277924 | Jada Health Corporation | Nurse Practitioner | 422 26th Ave S, Seattle, WA 98144-2335 | 2011-08-19 |
| 1710218862 | Lynne Marie Wiegert | Nurse Practitioner | 1514 Nob Hill Ave N, Seattle, WA 98109-3141 | 2010-01-28 |
| 1508490756 | Shanti Shastina Benoit Boyce | Nurse Practitioner | 4409 California Ave Sw Ste 100, Seattle, WA 98116-4916 | 2020-02-26 |
| 1780242131 | Creseta G Simmons | Nurse Practitioner | 550 16th Ave Ste 100, Seattle, WA 98122-5636 | 2019-05-31 |
| 1467911800 | Kelsey Gullickson | Nurse Practitioner | 1633 Westlake Ave N Ste 105, Seattle, WA 98109-6241 | 2019-03-15 |
| 1922570084 | Gwendolyn Borgonia Portes | Nurse Practitioner | 325 9th Ave, Seattle, WA 98104-2420 | 2018-12-28 |
| 1780190066 | Jason Chang | Nurse Practitioner | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2017-12-21 |
| 1346766508 | Katherine A Wakefield | Nurse Practitioner | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2017-08-19 |
| Find all providers in SEATTLE | ||||
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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.