Rachelle Denise Wells, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DN20886 Issued in FL

Practice address

1255 W Washington St
Monticello, FL 32344-1128

Phone

(850) 342-0170

NPI assigned

Sep 5, 2007

Last updated

Jun 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tampa Family Health Centers, Inc

  • General Practice Physician
  • Tampa, FL
  • NPI 1831769579
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1588858286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 RESERVE DR APT 523",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323111277",
            "telephone_number": "850-342-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W WASHINGTON ST",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323441128",
            "telephone_number": "850-342-0170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 N Florida Ave",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336022602",
            "country_code": "US",
            "telephone_number": "813-490-1957",
            "fax_number": "813-490-1958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "RACHELLE",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Thompson, PTA
• True Blue Doulas, Inc
• Keith M Ward, RN
• Roxana Ward, LPTA
• Natalia Johanna Waters
• Jennifer Alyse Wigglesworth, RN
• Angie Beach Williams, R.PH.
• Clinton Brad Wilson
• Wanda Faye Wilson
• Anna Elyse Thames Yarbrough Powers, MS

• Dentist in Monticello, FL
• Providers in Monticello, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.