RENEE IVY NPI 1457717183

NPI Information

  • NPI: 1457717183
  • Provider Name: RENEE IVY
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 7060 MADISON ST
    MERRILLVILLE, IN
    ZIP 46410
  • Phone: (219) 840-8209

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NPI Details

Renee Ivy is a peer specialist in Merrillville, IN. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Renee Ivy NPI is 1457717183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7060 MADISON ST
MERRILLVILLE, IN
ZIP 46410-452
Phone: (219) 840-8209

The enumeration date for this NPI number is 1/11/2016 and was last updated on 1/14/2016.

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
1175T00000XPeer SpecialistYes

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: 11/21/2025

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