NPI age
14 years
Enumerated 2012-02-10
● Active Type 2 · Organization
Renu Medispa
Renu Medispa is 1 of 145 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Weaver
Director
Last NPPES update
2012-04-30
Source: monthly bulk 2026-05
How this organization compares
Across 145 active clinic/center providers in Idaho.
NPI age
14 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-02Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
951 E Plaza Dr, Suite 150
Eagle, ID 836166566
Mailing address
951 E Plaza Dr, Suite 150
Eagle, ID 836166566
Authorized official
Tawni Weaver
Director
📞 2089394456
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Cynthia Culp, FNP Nurse Practitioner NPI 1386643146
- Janice Fairbank, LPC, LIAC, SAP Counselor NPI 1255051298
- Karen Howell, P.T. Physical Therapist NPI 1649237140
- Jennifer Mahlberg-Grant, APRN Nurse Practitioner NPI 1982126686
- Claudia Parcells, NP Nurse Practitioner NPI 1144469735
- Tamara Simon, MD Obstetrics & Gynecology NPI 1891730917
- Danielle Sutton, NP Nurse Practitioner NPI 1528427796
Specialties
-
Clinic/Center PrimaryA 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...
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.