RENEE LYNN OUTLAW (NPI# 1639564701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639564701 |
Entity Type | Individual |
Full Name | RENEE LYNN OUTLAW |
Credential | CMT, LMT, |
Practice Address |
3705 Mt Diablo Blvd Ste B Lafayette CA 94549-3540 |
Practice Telephone | 9252975124 |
Mailing Telephone | 9252975124 |
Enumeration Date | 2015-04-05 |
Last Update Date | 2015-04-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | Other Service Providers | ||
N | 174400000X | Specialist | Other Service Providers | ||
N | 1744R1102X |
Specialist Specialization: Research Study |
Other Service Providers | ||
N | 173C00000X | Reflexologist | Other Service Providers | ||
N | 174H00000X | Health Educator | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225101645 | Renee C Outlaw | Speech-Language Pathologist | 611 Grand Blvd, Vancouver, WA 98661-4918 | 2006-11-15 |
Street Address |
3705 MT DIABLO BLVD STE B |
City | LAFAYETTE |
State | CA |
Zip Code | 94549-3540 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
Find all providers in zip 94549 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568085611 | Ryan Austin | Contractor | 600 Lafittes Landing Pass, Lafayette, LA 70508-5433 | 2020-05-24 |
1063885457 | Nicole Carroll Wolfe | Contractor | 206 E Peck Blvd, Lafayette, LA 70508-7474 | 2015-11-06 |
1225459613 | Rachel Courville | Contractor | 509 Camellia Dr, Lafayette, LA 70503-4701 | 2014-01-02 |
1689980104 | Rachel Ann Claussen | Contractor | 1002 S 12th St, Lafayette, IN 47905-1476 | 2010-08-21 |
1134440514 | Src International LLC | Contractor | 144 Banks Ave, Lafayette, LA 70506-1988 | 2010-06-19 |
1134380587 | Johnelle Nuspl Shaw | Contractor | 1021 Stagecoach Dr, Lafayette, CO 80026-8703 | 2008-06-18 |
1669649695 | Stephanie Ann Cogburn | Contractor | 4620 W Congress St Apt 50, Lafayette, LA 70506-6632 | 2008-05-08 |
1881803625 | Allison Cormier | Contractor | 512 Cane Dr, Lafayette, LA 70508-4339 | 2007-05-21 |
1275092553 | Adrian Inez Baytop | Contractor | 1017 Saint John St, Lafayette, LA 70501-6711 | 2019-03-17 |
1275997892 | Network Therapies, Inc | Contractor | 3203 Lucas Dr, Lafayette, CA 94549-5546 | 2016-04-09 |
Find all providers in LAFAYETTE |
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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.