ELIZABETH RENSHAW (NPI# 1710530654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710530654 |
| Entity Type | Individual |
| Full Name | ELIZABETH RENSHAW |
| Credential | FNP |
| Practice Address |
26136 Us Highway 59 Fairfax MO 64446-9105 |
| Mailing Address |
Po Box 107 Fairfax MO 64446-0107 |
| Practice Telephone | 6606862211 |
| Mailing Telephone | 6606862211 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2019012515 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
26136 US HIGHWAY 59 |
| City | FAIRFAX |
| State | MO |
| Zip Code | 64446-9105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336118397 | Community Hospital Association | Home Health | 26136 Us Highway 59, Fairfax, MO 64446-8155 | 2006-03-14 |
| 1972061612 | Aaron Dean Glenn | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2019-03-12 |
| 1063928307 | Kelsi Holthus | Occupational Therapist | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2017-12-22 |
| 1982016754 | Kelly Osborn | Nurse Anesthetist, Certified Registered | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2014-05-28 |
| 1023448164 | Rebecca Heits | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-11-26 |
| 1144650938 | Diagnostic Radiology PC Vein Clinic | Radiology | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-11-15 |
| 1942638705 | Harold Ray Lawrence | Pharmacist | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-10-14 |
| 1184063224 | Lindsay Williams | Family Medicine | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-06-21 |
| 1245505585 | Katrina Renee Lock | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446 | 2012-03-20 |
| 1245566314 | Melissa Sue Masonbrink | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446-8155 | 2009-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639204878 | Janet L Hunter | Speech-Language Pathologist | 200 Sixth St., Box 230, Fairfax, MO 64446 | 2007-02-21 |
| 1811518939 | Bentley Enterprises, LLC | Home Health | 100 East Main, Fairfax, MO 64446 | 2020-04-29 |
| 1821165325 | Oxy-med, Inc. | Durable Medical Equipment & Medical Supplies | 26146 Us Hwy 59, Fairfax, MO 64446-0237 | 2006-11-29 |
| 1205254216 | Theresa Lee Crawford | Nurse Practitioner | 26136 Hwy 59, Fairfax, MO 64446-0446 | 2014-04-07 |
| 1750612271 | Tracy Lynn Oswald | Physical Therapy Assistant | 405 E Main St, Fairfax, MO 64446-8155 | 2010-01-22 |
| 1699001529 | Karla Mae Worley | Physical Therapy Assistant | 405 E Main St, Fairfax, MO 64446-8155 | 2009-10-28 |
| 1790975605 | Yolanda Martinez Ackerman | Occupational Therapist | 405 E Main St, Fairfax, MO 64446-8155 | 2007-07-26 |
| 1144380510 | Allison Godchaux | Nurse Practitioner | 405 E Main St, Fairfax, MO 64446-8155 | 2006-12-08 |
| 1134275258 | Fairfax R-3 School District | Local Education Agency (LEA) | 500 E Main St, Fairfax, MO 64446-9131 | 2007-01-25 |
| 1205925518 | David Leon Scarbrough | Dentist | 503 N Broadway St, Fairfax, MO 64446-9226 | 2006-10-12 |
| Find all providers in zip 64446 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1033608989 | Liana Matevosian | Nurse Practitioner | 13104 Cross Keys Ct, Fairfax, VA 22033-1426 | 2018-05-07 |
| 1144674821 | Sonam Norbu | Nurse Practitioner | 4887 Wheatstone Dr, Fairfax, VA 22032-2341 | 2016-04-19 |
| 1992702617 | Mary Choisser Langford | Nurse Practitioner | 12011 Lee Jackson Hwy, Fairfax, VA 22033-3310 | 2005-07-07 |
| 1275179137 | Amelia Ellen Pitha | Nurse Practitioner | 8316 Arlington Blvd, Fairfax, VA 22031-5207 | 2019-11-25 |
| 1871998302 | Kimberly Soutuyo | Nurse Practitioner | 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031-4420 | 2014-10-27 |
| 1952650236 | Lisa Ann Sullivan | Nurse Practitioner | 3998 Fair Ridge Dr, Ste 320, Fairfax, VA 22033-2907 | 2012-09-03 |
| 1063768539 | Zahra Mohseni | Nurse Practitioner | 8503 Arlington Blvd Ste 200, Fairfax, VA 22031-4629 | 2012-08-02 |
| 1265615041 | Hillary M Morris | Nurse Practitioner | 8503 Arlington Blvd, Suite 200, Fairfax, VA 22031-4628 | 2007-12-14 |
| 1629164389 | Mary L Duggan | Nurse Practitioner | 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033-1710 | 2006-10-04 |
| Find all providers in FAIRFAX | ||||
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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.