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Organization

Renaissance Health LLC

NPI Record: ActiveNurse Practitioner — Adult Health
NPI1104772482
Oklahoma City, Oklahoma

Provider's NPPES record last updated: May 11, 2026

Overview

Entity Type
Organization
NPI
1104772482
Primary Specialty
Nurse Practitioner — Adult Health
Practice Location
Oklahoma City, Oklahoma
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:42 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Nurse Practitioner

    Adult Health

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    Definition to come...

    Taxonomy code 363LA2200X
  • Nurse Practitioner

    Primary Care

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363LP2300X

Practice Locations

Practice Location

3621 Nw 63rd St Ste E

Oklahoma City, Oklahoma 73116-2041

Phone: (405) 345-2982

Record Information

Enumeration Date
March 9, 2026
Provider's NPPES Record Last Updated
May 11, 2026
Certification Date
May 11, 2026
NPISignal NPPES Dataset
August 2026

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