Healthcare Provider Details

I. General information

NPI: 1134082522
Provider Name (Legal Business Name): RENAE SCHMEIZL MARTIN RN, BSN, HWNC-BC, HN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 CASWELL ST STE 200
NARRAGANSETT RI
02882-7313
US

IV. Provider business mailing address

1 S CLIFF DR
NARRAGANSETT RI
02882-1914
US

V. Phone/Fax

Practice location:
  • Phone: 401-785-7367
  • Fax:
Mailing address:
  • Phone: 401-785-7367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number18241H5
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN66369
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: