JUSTIN RENO (NPI# 1518223130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518223130 |
| Entity Type | Individual |
| Full Name | JUSTIN RENO |
| Credential | MD |
| Practice Address |
229 Hedrick Dr Newport TN 37821-2902 |
| Mailing Address |
Po Box 577 Newport TN 37822-0577 |
| Practice Telephone | 4236231057 |
| Practice Fax Number | 4236258620 |
| Mailing Telephone | 4236133300 |
| Mailing Fax Number | 4236234088 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD52547 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q013966 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1015 N Highland Ave, Murfreesboro, TN 371302450 | 6153966620 | 6153966625 |
| 205 Hospital Dr, Suite A, Mc Kenzie, TN 382011649 | 7313527907 | 7313524459 |
| 1020 N Highland Ave, Murfreesboro, TN 37130 | 6153966620 | 6153966625 |
| Street Address |
229 HEDRICK DR |
| City | NEWPORT |
| State | TN |
| Zip Code | 37821-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013998038 | Melissa Rae Lamb | Nurse Practitioner | 229 Hedrick Dr, Newport, TN 37821-2902 | 2005-11-08 |
| 1053895474 | Brandi Michelle Haynes | Nurse Practitioner | 229 Hedrick Dr, Newport, TN 37821 | 2018-09-21 |
| 1649750811 | Brittany D Dixon | Nurse Practitioner | 229 Hedrick Dr, Newport, TN 37821-2902 | 2018-08-17 |
| 1134605124 | Emily Hensley Barnett | Nurse Practitioner | 229 Hedrick Dr, Newport, TN 37821-2902 | 2018-07-13 |
| 1811393374 | Kristi Michelle Ryan | Nurse Practitioner | 229 Hedrick Dr, Newport, TN 37821-2902 | 2014-11-11 |
| 1861833436 | Kristi Dale Bradshaw | Nurse Practitioner | 229 Hedrick Dr, Newport, TN 37821-2902 | 2013-07-11 |
| 1659528743 | Nathan William Dewitt | Family Medicine | 229 Hedrick Dr, Newport, TN 37821-2902 | 2008-08-20 |
| 1346405958 | Ida Mae Boatman | Counselor | 229 Hedrick Dr, Newport, TN 37821-2902 | 2008-07-23 |
| 1295938108 | Sharmian Wyrick Mccoy | Marriage & Family Therapist | 229 Hedrick Dr, Newport, TN 37821-2902 | 2007-06-07 |
| 1194796177 | Rachel A Mathers | Registered Nurse | 229 Hedrick Dr, Newport, TN 37821-2902 | 2006-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649733593 | Deborah Diane Webb | Licensed Practical Nurse | 1203 Beechwood Road, Newport, TN 37821 | 2019-04-08 |
| 1972072353 | Meg Marie Collins | Counselor | 990 Hwy 25, Newport, TN 37821 | 2018-11-15 |
| 1184199515 | Newport Family Eyecare | Optometrist | 1002 W Highway 25/70, Newport, TN 37821 | 2018-10-12 |
| 1578807269 | Newport Eyecare Center Pllc | Optometrist | 115 Hedrick Drive, Newport, TN 37821 | 2012-11-19 |
| 1538292867 | James Loran Hodge | Optometrist | 1075 Cosby Highway, Newport, TN 37821 | 2007-03-14 |
| 1336271071 | Alice Louise Dalton | Case Manager/Care Coordinator | 215 Hedrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1700918521 | Kristi Renee Hansel | Case Manager/Care Coordinator | 215 Hendrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1255404497 | Jeremy E Sherrod | Pharmacist | 602 E Broadway, Newport, TN 37821 | 2006-11-16 |
| 1316016306 | Stephen Kent Priser | Pharmacist | 468 Eastern Plaza, Newport, TN 37821 | 2006-11-06 |
| 1881770006 | Steven Fuller Smith | Dentist | 305 Cosby Hwy, Newport, TN 37821 | 2006-10-31 |
| Find all providers in zip 37821 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144859802 | Virginia Revill | Family Medicine | 1586 Depaul Rd, Newport, TN 37821-6280 | 2020-04-05 |
| 1285164145 | Lesli Ashten Anderson | Family Medicine | 1200 Mclain St Ste B, Newport, AR 72112-3550 | 2017-06-14 |
| 1346552148 | Virgincita Fuentes Rodriguez | Family Medicine | 2000 Mclain St Ste B, Newport, AR 72112-3661 | 2010-07-08 |
| 1336379569 | Anna Hehl-bisson | Family Medicine | 3132 Newport Rd, North Park Plaza, Newport, MI 48166-6100 | 2009-07-22 |
| 1891935151 | Oakwood Ambulatory, LLC | Family Medicine | 3132 Newport, Suite 107, Newport, MI 48166 | 2009-02-26 |
| 1518081520 | Rachel Beth Disanto | Family Medicine | 81 Medical Village Dr Ste 1, Family Practice of Newport, Newport, VT 05855-9897 | 2007-03-16 |
| 1891834719 | Safe Harbour Family Care | Family Medicine | 129 Chatham St, Newport, NC 28570 | 2007-02-06 |
| 1366515249 | Thomas Ae Moseley | Family Medicine | 121 Medical Village Drive, Newport, VT 05855 | 2006-11-16 |
| 1871688499 | Denise Aileen Niemira | Family Medicine | 5452 U.S. Rt. 5, Ste. D, Newport, VT 05855 | 2006-10-03 |
| 1790885838 | Allegra L Shumway | Family Medicine | 79 Coventry St, Newport, VT 05855-2206 | 2006-09-25 |
| Find all providers in NEWPORT | ||||
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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.