Wineteer, Inc.

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

WINETEER, INC.

Doing business as

LifeWise Renovations
LifewiseCHM

Practice address

3500 W 75TH St
Suite 100
Prairie Village, KS 66208

Phone

(816) 363-0600

Fax

(816) 363-2080

NPI assigned

May 28, 2015

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

Katy Dodd

Title

Principal

Phone

(913) 380-4246

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 2

• LifeWise Renovations Doing business as
• LifewiseCHM Doing business as

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1366821977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W 75TH ST STE 100",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084129",
            "telephone_number": "913-380-4246",
            "fax_number": "816-363-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W 75TH ST",
            "address_2": "SUITE 100",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "66208",
            "telephone_number": "816-363-0600",
            "fax_number": "816-363-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINETEER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "913-380-4246"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "KS",
            "license": "201107880A",
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "201107880A",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KS",
            "license": "201107880A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201107880B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201107880A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F500301110",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeWise Renovations",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LifeWise Renovations",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LifewiseCHM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Annette Williams, PHARMD
• Jessica Williams
• Phillip Williams
• Emily Ann Wilson, OTD, OTR/L
• Jessica Wilson
• Lisa Winter
• Kimberly Anne Wise, MD
• Robert Paul Wolf, DDS
• Heather Gagnon Wong, MS PT
• Orria C Wood

• Home Modifications Contractor in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Home Modifications Contractor in Kansas

• 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.