Renew Wellness Aesthetics PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

RENEW WELLNESS AESTHETICS PLLC

Practice address

6141 93Rd St SW
Lakewood, WA 98499-2401

Phone

(253) 584-3838

NPI assigned

Aug 10, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Erik Matthew Wells, DCNPI 1588613269

Title

Partner

Phone

(253) 232-9787

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erik Matthew Wells, D.C.

  • Chiropractor
  • Lakewood, WA
  • NPI 1588613269
  NPD Authorized official
• Ronald Gene Cronk, D.C.

  • Chiropractor
  • Lakewood, WA
  • NPI 1487683892
  NPD (past)
• Charlee Marie Meridth, DC

  • Chiropractor
  • Dupont, WA
  • NPI 1881404663
  NPD (past)

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1295418705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 93RD ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992401",
            "telephone_number": "253-584-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 93RD ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992401",
            "telephone_number": "253-584-3838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985311853",
            "country_code": "US",
            "telephone_number": "253-584-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEW WELLNESS AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "253-232-9787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shenae Renee Reid, LPN
• Ukaesia Reid
• Sarah Jean Reisenauer, ARNP
• Rejuvenate Wellness Day Spa, PS
• Erin Michaela Renard, COTA/L
• Jerri Glenn Rennaker, B. A.
• Maleea Rennaker
• Renovation Biblical Counseling Services, PLLC
• Ysabel Reoux
• Resolve Recovery Services

• Nurse Practitioner in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.