RENEW PSYCHIATRIC ASSOCIATES, PLLC (NPI# 1700449402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700449402 |
| Entity Type | Organization |
| Organization Name | RENEW PSYCHIATRIC ASSOCIATES, PLLC |
| Practice Address |
12701 W State Highway 29 Ste 5 Liberty Hill TX 78642-6348 |
| Practice Telephone | 5126655726 |
| Practice Fax Number | 5125828585 |
| Mailing Telephone | 5126655726 |
| Mailing Fax Number | 5125828585 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2020-06-01 |
| Authorized Official Name | ANASTASIA CORKER (OWNER) |
| Authorized Official Telephone | 5126655726 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NPI | 1558701565 | 01 |
| Street Address |
12701 W STATE HIGHWAY 29 STE 5 |
| City | LIBERTY HILL |
| State | TX |
| Zip Code | 78642-6348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942717475 | Stephanie Weatherby | Nurse Practitioner | 12701 W State Highway 29 Ste 5, Liberty Hill, TX 78642-6348 | 2018-01-05 |
| 1679108195 | Dustin Dwiggins Md Pa | Family Medicine | 12701 W State Highway 29 Ste 5, Liberty Hill, TX 78642-6348 | 2020-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856689 | Lori Janean Seeds Martin | Social Worker | 155 Hillcrest Lane, Community Resource Center, Liberty Hill, TX 78642 | 2020-09-22 |
| 1629682836 | Gregory David Brooks Sr. | Pharmacist | 14001 Hwy 29, Suite 202a, Liberty Hill, TX 78642 | 2020-09-04 |
| 1881205698 | Hill Country Pharmacare, LLC | Pharmacy | 14001 Hwy 29 Suite 202a, Liberty Hill, TX 78642 | 2020-08-14 |
| 1194374173 | Samantha Kendall | Nurse Practitioner | 12550 Tx 29, Liberty Hill, TX 78642 | 2019-09-11 |
| 1760030746 | Hoverh | Naturopath | 3103 Ranch Road 1869, Liberty Hill, TX 78642 | 2019-09-03 |
| 1578118311 | Susan Slagle | Specialist/Technologist | 13125 W Highway 29, Liberty Hill, TX 78642 | 2019-08-08 |
| 1669942140 | Deanna Sigman Johnson | Social Worker | 14745 Highway 29, Suite E, Li Berty Hill, Tx, TX 78642 | 2018-11-28 |
| 1013486398 | Phillip Zamora | Hearing Instrument Specialist | 12701 West Highway 29, Liberty Hill, TX 78642 | 2018-11-16 |
| 1962898205 | Kaela Thurman | Nurse Practitioner | 12701 W Sh29 Suite 5, Liberty Hill, TX 78642 | 2015-04-14 |
| 1255675336 | Jacquelyn Denise Strait | Optometrist | 14370 West Highway 29, Suite 8, Liberty Hill, TX 78642 | 2012-11-15 |
| Find all providers in zip 78642 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537857 | Julius Abam | Nurse Practitioner | 634 Rustic Trl, Midlothian, TX 76065-2267 | 2020-10-30 |
| 1750981619 | Suvekchya Subedi | Nurse Practitioner | 4032 Vista Mar Drive, Euless, TX 76040 | 2020-10-29 |
| 1821698754 | Christienne Felice Solis Callasan | Nurse Practitioner | 1010 Palos Verdes Blvd, Arlington, TX 76017-1780 | 2020-10-29 |
| 1932709201 | Aftercare, Pllc | Nurse Practitioner | 2000 Crawford St Ste 1221, Houston, TX 77002-9000 | 2020-10-27 |
| 1497355929 | Hector Medellin IIi | Nurse Practitioner | 6014 County Road 4068, Kemp, TX 75143-2600 | 2020-10-26 |
| 1639778947 | Aj Psychiatry Pllc | Nurse Practitioner | 1920 N Coit Rd Ste 219, Richardson, TX 75080-2832 | 2020-10-19 |
| 1154929735 | Valerie Michelle Vaughn-smith | Nurse Practitioner | 3105 Rockbrook Dr, Kilgore, TX 75662-2251 | 2020-10-15 |
| 1700483468 | Knd Behavioural Health Clinic | Nurse Practitioner | 103 Herrington Dr, Mansfield, TX 76063-7615 | 2020-10-06 |
| 1184231805 | Tihana Sladic | Nurse Practitioner | 1515 S Capital of Texas Hwy Ste 300&301, Austin, TX 78746-6579 | 2020-09-27 |
| 1679189369 | Charity Chioma Durant | Nurse Practitioner | 2310 Echo Ct, Rowlett, TX 75088-1534 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | LIBERTY HILL |
| Zip Code | 78642 |
Please comment or provide details below to improve the information on RENEW PSYCHIATRIC ASSOCIATES, PLLC.
| 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.