Renew Wellness Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RENEW WELLNESS CENTER

Doing business as

Renew Wellness Center

Practice address

9 Lake Bellevue Dr Ste 115
Bellevue, WA 98005-2454

Phone

(425) 289-7805

NPI assigned

Dec 4, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Simon Katumu, DNP

Title

Ceo/Founder

Phone

(314) 398-4426

Specialties & licenses 1

Addresses

Other names 1

• Renew Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1326814070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LAKE BELLEVUE DR STE 115",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052454",
            "telephone_number": "425-289-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LAKE BELLEVUE DR STE 115",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052454",
            "telephone_number": "425-289-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-02",
        "status": "A",
        "authorized_official_last_name": "KATUMU",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "314-398-4426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jiayi Ren
• Renaissance Center
• Renal Treatment Centers West Inc (Bellevue Dialysis Center)
• Daniel Alejandro Rendon Aldana
• Renee Gilbert, PH.D.
• David A Renne
• Cyrus Renninger
• Martin Molina Renteria, RBT, CBT
• Matt B Renton
• Elizabeth Brooke Repass, SCM

• Clinic/Center in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.