ERIC RENICKER N.P. NPI 1679629513

NPI Information

NPI: 1679629513
Provider Name: ERIC RENICKER, N.P.
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: ACHIEVE WHOLE RECOVERY, PC

PECOS Registration: Yes

Address:
1302 CHINOOK LN
PUEBLO, CO
ZIP 81001
Phone: (719) 545-2746
Get Directions

Eric Renicker, N.P. is a psychiatric/mental health nurse practitioner in Pueblo, CO with 12 years of experience. Eric Renicker, N.P. NPI is 1679629513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1302 CHINOOK LN
PUEBLO, CO
ZIP 81001-851
Phone: (719) 545-2746
Fax: (719) 542-9638

The NPI 1679629513 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 5/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		140944	COLORADO	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0990535-NP	COLORADO	Yes
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RXN.0100732-NP	COLORADO	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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