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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

HOLLY MAYE RENNER
NPI 1912831579
Student in an Organized Health Care Education/Training Program in Mishawaka, IN

Active since June 10, 2026
215 W 4TH ST, MISHAWAKA, IN 46544(574) 302-7163(574) 544-0066 Get Directions Write a Review

NPPES record added: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holly Maye Renner NPPES

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

HOLLY MAYE RENNER (NPI 1912831579) is an individual student in an organized health care education/training program in Mishawaka, Indiana and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1912831579
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHOLLY MAYE RENNER
Location Address215 W 4TH STMishawaka, IN 46544-1917
Mailing Address215 W 4th StMishawaka, IN 46544-1917 · (574) 302-7163 · Fax (574) 544-0066
Phone(574) 302-7163
Fax(574) 544-0066
Sole ProprietorNo
Enumeration DateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1912831579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
215 W 4TH ST, Mishawaka, IN 46544
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Other Providers at the Same Location NPPES 19

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

RIVER BEND ANESTHESIA, LLC
Anesthesiology
215 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 271-0013
ICR SOUTH BEND OPERATING SUBSIDIARY, LLC
Psychiatric Hospital
215 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 544-0207
SCCI HOSPITALS OF AMERICA, LLC
Long Term Care Hospital
215 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 251-8238
SELECT SPECIALTY HOSPITAL - NORTHERN INDIANA, LLC
Long Term Care Hospital
215 W 4TH ST, 2ND FLOOR
MISHAWAKA, IN 46544
St. Joseph County (717) 972-1100
INDIANA CENTER FOR RECOVERY SOUTH BEND, LLC
Psychiatric Hospital
215 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (561) 305-0461
SELECT SPECIALTY HOSPITAL - NORTHERN INDIANA, LLC
Hospitalist
215 W 4TH ST, 2ND FL
MISHAWAKA, IN 46544
St. Joseph County (717) 972-1100
SOUND PHYSICIANS OF INDIANA, LLC
Hospitalist
215 W 4TH ST, # 200
MISHAWAKA, IN 46544
St. Joseph County (574) 252-2000
LESLY STEWART PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
215 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 544-0101

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 Holly Renner's NPI number?

The NPI number for Holly Renner is 1912831579. It was assigned to this individual provider in the NPPES registry on June 10, 2026.

Where is Holly Renner located?

Holly Renner practices at 215 W 4th St, Mishawaka, IN 46544. The listed phone number is (574) 302-7163.

What is Holly Renner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Holly Renner was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.