OrganizationActive
Renu Medispa
NPI 1407129125 · Clinic/Center · Eagle, ID
Renu Medispa is a Clinic/Center organization in Eagle, ID (NPI 1407129125).
Provider details
- NPI number
- 1407129125
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tawni Weaver, Director(208) 939-4456
- License
- NP784A (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
951 E Plaza Dr
Suite 150
Eagle, ID 83616-6566
Phone: (208) 939-4456
Fax: (208) 287-2200
Street-level locationGet directions
Mailing address
951 E Plaza Dr
Eagle, ID 83616-6566
Registry dates
- Enumerated
- 2012-02-10
- Last updated
- 2012-04-30
Frequently asked questions
- What is Renu Medispa's NPI number?
- Renu Medispa's National Provider Identifier (NPI) is 1407129125, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renu Medispa?
- Renu Medispa is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Renu Medispa located?
- Renu Medispa's practice location on file with NPPES is 951 E Plaza Dr, Eagle, ID 83616-6566.
- What is Renu Medispa's phone number?
- The practice phone number listed in the NPPES registry for Renu Medispa is (208) 939-4456.
- Who is the authorized official for Renu Medispa?
- The authorized official listed on Renu Medispa's NPPES record is Tawni Weaver, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renu Medispa's NPI active?
- Yes — Renu Medispa's NPI (1407129125) is active in the NPPES registry as of the last update on 2012-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.