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RENAISSANCE HEALTH LLC
NPI 1104772482
Nurse Practitioner - Adult Health in Oklahoma City, OK

Active since March 09, 2026
3621 NW 63RD ST STE E, OKLAHOMA CITY, OK 73116(405) 345-2982 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2026, Apr 21, 2026, Mar 9, 2026 (3 updates tracked since 2026).

About Renaissance Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAISSANCE HEALTH LLC (NPI 1104772482) is a healthcare organization registered as an adult health in Oklahoma City, Oklahoma and active in the NPI registry since March 2026. The organization lists Bhavi Shah, Owner, as its authorized official.

NPPES Registry Identity

NPI1104772482
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameRENAISSANCE HEALTH LLC
Location Address3621 NW 63RD ST STE EOklahoma City, OK 73116-2041
Mailing Address3621 Nw 63rd St Ste EOklahoma City, OK 73116-2041 · (405) 345-2982
Phone(405) 345-2982
Organization SubpartNo
Authorized OfficialBhavi ShahOwner · (405) 410-2720
Enumeration DateMarch 9, 2026
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1104772482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
3621 NW 63RD ST STE E, Oklahoma City, OK 73116
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRYAN ELLIOTT SORGEN D.D.S.
Dentist (General Practice)
3621 NW 63RD ST STE E
OKLAHOMA CITY, OK 73116
Oklahoma County (405) 848-8871

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renaissance Health LLC's NPI number?

The NPI number for Renaissance Health LLC is 1104772482. It was assigned to this organization in the NPPES registry on March 9, 2026.

Where is Renaissance Health LLC located?

Renaissance Health LLC is located at 3621 NW 63rd St Ste E, Oklahoma City, OK 73116. The listed phone number is (405) 345-2982.

What is Renaissance Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Renaissance Health LLC was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.