Rachel Wells

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703109136 Issued in MI

Practice address

223 W Belle Ave
St. Charles, MI 48655

Phone

(989) 233-6062

NPI assigned

Oct 22, 2014

Last updated

Oct 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1023412889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W BELLE AVE",
            "city": "SAINT CHARLES",
            "state": "MI",
            "postal_code": "486551603",
            "telephone_number": "989-233-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W BELLE AVE",
            "city": "ST. CHARLES",
            "state": "MI",
            "postal_code": "48655",
            "telephone_number": "989-233-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703109136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Charles Family Clinic PLLC
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• Jennifer Jo Thon, B.A.
• Kimberly Truckner, MSN, FNP-BC
• Valley Residential Services, Inc.
• Ronald Stewart Westervelt, D.D.S.
• Carrie Wilson, PHARMD

• Licensed Practical Nurse in Saint Charles, MI
• Providers in Saint Charles, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.