RENEWED WELLNESS LLC (NPI# 1265915078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265915078 |
Entity Type | Organization |
Organization Name | RENEWED WELLNESS LLC |
Practice Address |
201 W Richardson Ave Artesia NM 88210-2458 |
Practice Telephone | 5757366222 |
Practice Fax Number | 5757366311 |
Mailing Telephone | 5757366222 |
Mailing Fax Number | 5757366311 |
Enumeration Date | 2018-09-08 |
Last Update Date | 2020-10-23 |
Authorized Official Name | MRS. STEPHANIE L JONES (CO-OWNER) |
Authorized Official Telephone | 5757366222 |
Authorized Official Credential | CNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Renew Skin and Body Rejuvenation LLC | Former Legal Business Name - Organization |
Street Address |
201 W RICHARDSON AVE |
City | ARTESIA |
State | NM |
Zip Code | 88210-2458 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326529728 | Stephanie L Jones | Nurse Practitioner | 201 W Richardson Ave, Artesia, NM 88210-2458 | 2018-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003452012 | Blue Star Therapy, LLC | Occupational Therapist | 611 W. Mahone Dr., Artesia, NM 88210 | 2019-11-25 |
1245777382 | Alise Mullen | Registered Nurse | 1806 W. Centre Ave, Artesia, NM 88210 | 2017-01-27 |
1376890285 | Micki J Miller | Massage Therapist | 106 S. 7th. St., Artesia, NM 88210 | 2012-08-09 |
1396971222 | Grammy's House Artesia Domestic Violence Shelter Inc. | Social Worker | 811 W Texas, Artesia, NM 88210 | 2009-06-05 |
1013143338 | Yucca Health Care Centers | Clinic/Center | 606 North 13th Street, Artesia, NM 88210 | 2009-06-01 |
1205077310 | Kay L. Younggren Dds | Dentist | 2520 W. Hermosa, Artesia, NM 88210 | 2009-03-19 |
1922264902 | Sherry Rayne Moya | Nurse Practitioner | 702 13th Street, Artesia, NM 88210 | 2008-07-30 |
1679778054 | Susan Emelie Trompeter | Internal Medicine | 702 N 13th St Ste 100, Artesia, NM 88210 | 2007-06-18 |
1952518292 | D. Ann Sanders | Registered Nurse | 504 Gage, Artesia, NM 88210 | 2007-05-17 |
1366597908 | Pecos Valley Regional Education Coop 8 | Community/Behavioral Health | 2218 W Grand Ave, Artesia, NM 88210 | 2007-01-24 |
Find all providers in zip 88210 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326529728 | Stephanie L Jones | Nurse Practitioner | 201 W Richardson Ave, Artesia, NM 88210-2458 | 2018-08-23 |
1689027484 | Jose Carlo Arrojado | Nurse Practitioner | 11890 Park Ave, Artesia, CA 90701-5806 | 2016-07-16 |
1922264902 | Sherry Rayne Moya | Nurse Practitioner | 702 13th Street, Artesia, NM 88210 | 2008-07-30 |
1598230112 | Erica Elizabeth Guerrero | Nurse Practitioner | 702 N 13th St, Artesia, NM 88210-1166 | 2018-10-10 |
1700335494 | Alfonso Villanueva Pastores | Nurse Practitioner | 11890 Park Ave, Artesia, CA 90701-5806 | 2016-09-23 |
1124573621 | Allen Dewayne Ayers | Nurse Practitioner | 1105 Memorial Dr, Artesia, NM 88210-1189 | 2016-08-25 |
1497158901 | Maria Nannette Higwit | Nurse Practitioner | 18011 Pioneer Blvd, Artesia, CA 90701-3904 | 2014-09-29 |
1952654667 | Aileen Andrion | Nurse Practitioner | 18502 Gridley Rd, Artesia, CA 90701-5406 | 2012-10-18 |
1528386034 | Cindy Diane Jones | Nurse Practitioner | 1105 Memorial Dr, Artesia, NM 88210-1189 | 2010-05-07 |
1114076825 | Artesia General Hospital | Nurse Practitioner | 612 N 13th St, Suite B, Artesia, NM 88210-1112 | 2007-01-10 |
Find all providers in ARTESIA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.