OrganizationActive
Radiance Renewed
NPI 1154941557 · Prosthetic/Orthotic Supplier · Highland, IN
Radiance Renewed is a Prosthetic/Orthotic Supplier organization in Highland, IN (NPI 1154941557).
Provider details
- NPI number
- 1154941557
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Tatanisha Wright, Owner(219) 689-9104
Specialties & taxonomies
Suppliers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES 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
9445 Indianapolis Blvd Ste 1042
Highland, IN 46322-2648
Phone: (219) 689-9104
Fax: (985) 251-2701
Street-level locationGet directions
Mailing address
9445 Indianapolis Blvd Ste 1042
Highland, IN 46322-2648
Registry dates
- Enumerated
- 2020-04-26
- Last updated
- 2020-04-26
- Certified
- 2020-04-26
Frequently asked questions
- What is Radiance Renewed's NPI number?
- Radiance Renewed's National Provider Identifier (NPI) is 1154941557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Radiance Renewed?
- Radiance Renewed is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Radiance Renewed located?
- Radiance Renewed's practice location on file with NPPES is 9445 Indianapolis Blvd Ste 1042, Highland, IN 46322-2648.
- What is Radiance Renewed's phone number?
- The practice phone number listed in the NPPES registry for Radiance Renewed is (219) 689-9104.
- Who is the authorized official for Radiance Renewed?
- The authorized official listed on Radiance Renewed's NPPES record is Tatanisha Wright, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Radiance Renewed's NPI active?
- Yes — Radiance Renewed's NPI (1154941557) is active in the NPPES registry as of the last update on 2020-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.