RENEE N BANWORTH FNP
NPI 1649815820
Nurse Practitioner - Family in Royal Oak, MI

Q: What is Renee Banworth's NPI number?

The NPI number for Renee Banworth is 1649815820. It was assigned to this individual provider in the NPPES registry on November 12, 2019.

Q: What is Renee Banworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Renee Banworth was last updated on March 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 12, 2019

3535 W 13 MILE RD STE 644, ROYAL OAK, MI 48073(248) 551-1033 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2023, Jan 22, 2021, Oct 21, 2020 and 1 more (4 updates tracked since 2019).

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About Renee N Banworth Fnp NPPES

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

RENEE N BANWORTH FNP (NPI 1649815820) is an individual family provider in Royal Oak, Michigan, licensed in Michigan (4704304290) and active in the NPI registry since November 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649815820

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRENEE N BANWORTHCredential: FNP

Location Address3535 W 13 MILE RD STE 644Royal Oak, MI 48073-6770

Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · Fax (947) 522-0307

Phone(248) 551-1033

Sole ProprietorNo

Enumeration DateNovember 12, 2019

Last NPPES UpdateMarch 20, 20244 updates tracked since enumeration

NPPES CertifiedMarch 20, 2024

✔ NPI 1649815820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704304290

3535 W 13 MILE RD STE 644, Royal Oak, MI 48073

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13535 W 13 Mile Rd Ste 644Royal Oak, MI 48073-6770 · Phone (248) 551-1033

Location 23535 W 13 Mile Rd Ste 635Royal Oak, MI 48073-6770 · Phone (248) 551-1010

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 14

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

PRITIKA SHRIVASTAVA M.D.

Internal Medicine (Nephrology)

3535 W 13 MILE RD STE 644, BEAUMONT MULTI-ORGAN TRANSPLANT CLINIC
ROYAL OAK, MI 48073

Oakland County (800) 253-5592

RAGHAVESH PULLALAREVU MD

Internal Medicine (Nephrology)

3535 W 13 MILE RD STE 644, BEAUMONT MULTI-ORGAN TRANSPLANT CLINIC
ROYAL OAK, MI 48073

Oakland County (800) 253-5592

PATRICIA ANN SILLS ANP-BC

Nurse Practitioner (Adult Health)