RADIANCE RENEWED
NPI 1154941557
Prosthetic/Orthotic Supplier in Highland, IN

Q: What is Radiance Renewed's NPI number?

The NPI number for Radiance Renewed is 1154941557. It was assigned to this organization in the NPPES registry on April 26, 2020.

Q: What is Radiance Renewed's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Q: When was this NPI record last updated?

The NPPES record for Radiance Renewed was last updated on April 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since April 26, 2020

9445 INDIANAPOLIS BLVD STE 1042, HIGHLAND, IN 46322(219) 689-9104(985) 251-2701 Get Directions Write a Review

NPPES record last updated: April 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Radiance Renewed NPPES

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

RADIANCE RENEWED (NPI 1154941557) is a healthcare organization registered as a prosthetic/orthotic supplier in Highland, Indiana and active in the NPI registry since April 2020. The organization lists Tatanisha Wright, Owner, as its authorized official.

NPPES Registry Identity

NPI1154941557

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameRADIANCE RENEWED

Location Address9445 INDIANAPOLIS BLVD STE 1042Highland, IN 46322-2648

Mailing Address9445 Indianapolis Blvd Ste 1042Highland, IN 46322-2648 · (219) 689-9104 · Fax (985) 251-2701

Phone(219) 689-9104

Fax(985) 251-2701

Organization SubpartNo

Authorized OfficialTatanisha WrightOwner · (219) 689-9104

Enumeration DateApril 26, 2020

NPPES CertifiedApril 26, 2020

✔ NPI 1154941557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

9445 INDIANAPOLIS BLVD STE 1042, Highland, IN 46322

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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 Radiance Renewed's NPI number?

The NPI number for Radiance Renewed is 1154941557. It was assigned to this organization in the NPPES registry on April 26, 2020.

Where is Radiance Renewed located?

Radiance Renewed is located at 9445 Indianapolis Blvd Ste 1042, Highland, IN 46322. The listed phone number is (219) 689-9104.

What is Radiance Renewed's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Radiance Renewed was last updated on April 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.