Renew Wellness and Recovery LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RENEW WELLNESS AND RECOVERY LLC

Doing business as

Renew Wellness LLC

Practice address

1814 NE Jensen Beach Blvd
Jensen Beach, FL 34957-7234

Phone

(772) 208-8600

NPI assigned

Apr 8, 2024

Last updated

Apr 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tinya C Clements, APRNNPI 1043992514

Title

Director of Operations

Phone

(772) 302-9769

Specialties & licenses 1

Addresses

Other names 1

• Renew Wellness LLC Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tinya C Clements, APRN

  • Family Nurse Practitioner
  • Port St Lucie, FL
  • NPI 1043992514
  NPD Authorized official
• Steven Craig Trisker, DNP

  • Nurse Practitioner
  • Greenacres, FL
  • NPI 1124514534
  NPD
• Nydia M Whitaker, ARNP

  • Family Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1639461023

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1265285530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 NE JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349577234",
            "telephone_number": "772-208-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 NE JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349577234",
            "telephone_number": "772-208-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW WELLNESS AND RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "TINYA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "772-302-9769",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louis Redpath, M.S. C.F. SLP
• Beth Ann Reeves, RN
• Emily A Reid, MOT, OTR/L
• Remedy Therapy, LLC
• Remedy Therapy, LLC
• Restore Hope of Jensen Beach, LLC
• Richard Higinbotham PA
• Doris A Riggs, MASTERS DEGREE IN CO
• Dennis R Rinaldi, DMD PA
• Caroline Lee Rissacher, D.C.

• Family Medicine Physician in Jensen Beach, FL
• Providers in Jensen Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.