OrganizationActive
Renaissance Health LLC
NPI 1104772482 · Adult Health Nurse Practitioner · Oklahoma City, OK
Provider details
- NPI number
- 1104772482
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Bhavi Shah, Owner(405) 410-2720
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3621 Nw 63rd St Ste E
Oklahoma City, OK 73116-2041
Phone: (405) 345-2982
Street-level locationGet directions
Mailing address
3621 Nw 63rd St Ste E
Oklahoma City, OK 73116-2041
Registry dates
- Enumerated
- 2026-03-09
- Last updated
- 2026-05-11
- Certified
- 2026-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.