Renee Pelache

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

450 Jenks Ave
Panama City, FL 32401-2626

Phone

(850) 872-7550

NPI assigned

Feb 25, 2010

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

Other names 1

• Renee Porter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1265754659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012626",
            "fax_number": "850-481-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012626",
            "telephone_number": "850-872-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELACHE",
        "first_name": "RENEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "PORTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pediatrics Plus, Inc.
• Pediatrix Medical Group of Florida, Inc.
• Elizabeth Grace Peeples
• Karen Peeples
• Damien Peixoto
• Heather Lynn Pelt, APRN-C
• Anita M. Pembleton, LMHC
• Jesse Curtis Pendergrast, CRNA
• Thomas Lee Pendergrast, O.D.
• Leslie Annis Pennel, RN

• Developmental Therapist in Panama City, FL
• Providers in Panama City, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.