Re-Nu Wellness Retreat LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

RE-NU WELLNESS RETREAT LLC

Practice address

2815 Foxglove Ave SW
Palm Bay, FL 32908-1314

Phone

(954) 465-8304

NPI assigned

Nov 12, 2025

Organization subpart

No

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

Authorized official

Name

Deshaunah Dixon, APRNNPI 1518614809

Title

Owner/Ceo

Phone

(954) 465-8304

Specialties & licenses 1

Addresses

Practitioners 1

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

• De-Shaunah Dixon

  • Psychiatric/Mental Health Nurse Practitioner
  • Pompano Beach, FL
  • NPI 1518614809
  NPD Authorized official

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1649130808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 FOXGLOVE AVE SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329081314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 FOXGLOVE AVE SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329081314",
            "telephone_number": "954-465-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE-NU WELLNESS RETREAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DESHAUNAH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "954-465-8304",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine A Ramos, OTR/L
• Marcia Ramsay, ARNP
• Tracy Jessica Rapp, ARNP
• Claudette L Raymond, RN
• Jenifer Lynn Raymond, PMHNP-BC
• Ursula Recarte
• Recharged Performance Therapy LLC
• Swetha G Reddy, DMD
• Redfoot ABA Therapy LLC
• Sharon Liz Reed, PSYCHOLOGIST

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.