MRS. KRISTI RENNEKER (NPI# 1831294420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831294420 |
Entity Type | Individual |
Full Name | MRS. KRISTI RENNEKER |
Credential | MSPT |
Practice Address |
234 Goodwin Crest Dr Birmingham AL 35209-3701 |
Practice Telephone | 2052904550 |
Mailing Telephone | 2052904550 |
Enumeration Date | 2006-09-14 |
Last Update Date | 2016-09-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
2206 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 890018760 | 05 | |
AL | BCBS | 51536496 | 01 |
Street Address |
234 GOODWIN CREST DR |
City | BIRMINGHAM |
State | AL |
Zip Code | 35209-3701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518310044 | Christine Ann Jones | Registered Nurse | 234 Goodwin Crest Dr, Birmingham, AL 35209-3701 | 2016-07-20 |
1124260013 | Connie Mcmichael Martin | Dietitian, Registered | 234 Goodwin Crest Dr, Birmingham, AL 35209-3701 | 2009-03-24 |
1518122043 | Karen Mckibbon Baggett | Speech-Language Pathologist | 234 Goodwin Crest Dr, Birmingham, AL 35209-3701 | 2008-07-24 |
1073670063 | William Edward Ronilo Jr. | Physical Therapist | 234 Goodwin Crest Dr, Birmingham, AL 35209-3702 | 2007-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
Find all providers in zip 35209 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124351895 | Stephanie K Orr | Physical Therapist | 1601 6th Ave S, Birmingham, AL 35233-1717 | 2009-09-14 |
1437284106 | Mary Patrice Murphy | Physical Therapist | 700 Century Park S, Suite 128, Birmingham, AL 35226-3943 | 2007-02-22 |
1295351096 | Abigail Scott Crenshaw Sasser | Physical Therapist | 1208 3rd Ave S, Birmingham, AL 35233-1311 | 2020-06-18 |
1689186967 | Anne Grace Schmidtke | Physical Therapist | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2017-10-26 |
1952840480 | Jane Keith | Physical Therapist | 1600 7th Ave S, Dearth Tower Ste 5602 Mcwane, Birmingham, AL 35233-1711 | 2017-02-16 |
1790235521 | Haley Mcdonald | Physical Therapist | 1600 7th Ave S, Birmingham, AL 35233 | 2016-10-05 |
1538565544 | Mabry Fisher | Physical Therapist | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2014-11-18 |
1619373156 | Katie S Roberts | Physical Therapist | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2014-11-11 |
1740554831 | Jonathan Adam Knott | Physical Therapist | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2012-03-07 |
1851626048 | Constance Jeanne Cushing | Physical Therapist | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2009-10-06 |
Find all providers in BIRMINGHAM |
City | BIRMINGHAM |
Zip Code | 35209 |
Please comment or provide details below to improve the information on MRS. KRISTI RENNEKER.
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.