Active NPI
Renee Wells
- Diabetes Educator Registered Nurse
- Bryant, AR
National Provider Identifier
1316338189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 21420274
- Practice address
- 709 SE 2ND St
Bryant, AR 72022-4062 - Phone
- (501) 240-3579
- Fax
- (501) 847-3010
- NPI assigned
- Feb 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 21420274 | AR | Primary |
Addresses
Primary practice location
709 SE 2ND St
Bryant, AR 72022-4062
Mailing address
PO Box 25851
Little Rock, AR 72221-5851
Phone (501) 240-3579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21420274 | AR | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Horn Classes | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Bryant, AR
- NPI 1427426204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423872000000",
"number": "1316338189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25851",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722215851",
"telephone_number": "501-240-3579",
"fax_number": "501-847-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 SE 2ND ST",
"city": "BRYANT",
"state": "AR",
"postal_code": "720224062",
"telephone_number": "501-240-3579",
"fax_number": "501-847-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-14",
"last_updated": "2015-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "AR",
"license": "21420274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.