1. Home
  2. Directory
  3. Idaho
  4. Eagle
  5. Clinic Center
  6. NPI Profile

RENU MEDISPA
NPI 1407129125
Clinic/Center in Eagle, ID

Active since February 10, 2012
951 E PLAZA DR, SUITE 150, EAGLE, ID 83616(208) 939-4456(208) 287-2200 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renu Medispa NPPES

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

RENU MEDISPA (NPI 1407129125) is a healthcare organization registered as a clinic/center in Eagle, Idaho and active in the NPI registry since February 2012. The organization lists Tawni Weaver, Director, as its authorized official.

NPPES Registry Identity

NPI1407129125
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameRENU MEDISPA
Location Address951 E PLAZA DR, SUITE 150Eagle, ID 83616-6566
Mailing Address951 E Plaza Dr, Suite 150Eagle, ID 83616-6566 · (208) 939-4456 · Fax (208) 287-2200
Phone(208) 939-4456
Fax(208) 287-2200
Organization SubpartNo
Authorized OfficialTawni WeaverDirector · (208) 939-4456
Enumeration DateFebruary 10, 2012
Last NPPES UpdateApril 30, 2012
✔ NPI 1407129125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in ID · NP784A
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
951 E PLAZA DR, Eagle, ID 83616
Open in Google Maps ↗

Other Providers at the Same Location NPPES 11

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

ROCKY MOUNTAIN HEALTH AND WELLNESS LLC
Nurse Practitioner
951 E PLAZA DR, STE 110
EAGLE, ID 83616
Ada County (208) 938-5680
SPECIALTY LABS PLLC
Clinical Medical Laboratory
951 E PLAZA DR, SUITE 170
EAGLE, ID 83616
Ada County (208) 939-3505
CLAUDIA PARCELLS NP
Nurse Practitioner (Family)
951 E PLAZA DR, SUITE 170
EAGLE, ID 83616
Ada County (208) 939-3505
MS. JANICE LYNN FAIRBANK LPC, LIAC, SAP
Counselor (Mental Health)
951 E PLAZA DR
EAGLE, ID 83616
Ada County (208) 938-2836
SYNERGY HEALTH AND WELLNESS
Chiropractor
951 E PLAZA DR
EAGLE, ID 83616
Ada County (208) 252-9123
MS. CYNTHIA RAY CULP FNP
Nurse Practitioner (Family)
951 E PLAZA DR, SUITE NUMBER 110
EAGLE, ID 83616
Ada County (208) 938-5680
DANIELLE SUTTON NP
Nurse Practitioner (Family)
951 E PLAZA DR, #170
EAGLE, ID 83616
Ada County (208) 939-2505
MRS. KAREN ANGELA HOWELL P.T.
Physical Therapist
951 E PLAZA DR
EAGLE, ID 83616
Ada County (208) 336-9755

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 Renu Medispa's NPI number?

The NPI number for Renu Medispa is 1407129125. It was assigned to this organization in the NPPES registry on February 10, 2012.

Where is Renu Medispa located?

Renu Medispa is located at 951 E Plaza Dr Suite 150, Eagle, ID 83616. The listed phone number is (208) 939-4456.

What is Renu Medispa's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Renu Medispa was last updated on April 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.