Organization Active NPI

Wellman Sleep Systems, LLC

  • Multi-Specialty Clinic/Center
  • Conroe, TX
National Provider Identifier
1154556785
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WELLMAN SLEEP SYSTEMS, LLC
Practice address
3000 W Davis St Ste 2
Conroe, TX 77304-2073
Phone
(936) 582-1112
Fax
(936) 582-1151
NPI assigned
May 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Ms. Cortnie Renee Wellman
Title
Owner
Phone
(936) 582-1112

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Function TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 225B00000X
Multi-Specialty Clinic/Center 261QM1300X Primary
Medical Specialty Clinic/Center 261QM2500X
Sleep Disorder Diagnostic Clinic/Center 261QS1200X
Physiological Laboratory 293D00000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3000 W Davis St Ste 2
Conroe, TX 77304-2073

Mailing address

3000 W Davis St Ste 2
Conroe, TX 77304-2073
Phone (936) 582-1112

Other practice location 1

123 Blue Heron Dr
Ste 102
Montgomery, TX 77316-3192
Phone (936) 582-1112

Other names 1

  • Lakeside Sleep Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110504000502 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6406031525 Practice locations: Conroe, TX

National Provider Directory

National Provider Directory
Tax ID family
Lakeside Sleep Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3000 W Davis St
Ste 2
Conroe, TX 77304
Phone (936) 441-2750

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1154556785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 W DAVIS ST STE 2",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042073",
            "telephone_number": "936-582-1112",
            "fax_number": "936-582-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W DAVIS ST STE 2",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042073",
            "telephone_number": "936-582-1112",
            "fax_number": "936-582-1151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Blue Heron Dr",
            "address_2": "Ste 102",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773163192",
            "country_code": "US",
            "telephone_number": "936-582-1112",
            "fax_number": "936-582-1151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLMAN SLEEP SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "WELLMAN",
        "authorized_official_first_name": "CORTNIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-582-1112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pulmonary Function Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeside Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.