Tremiya Renae Winbush

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6 Eagle Ctr Ste 1
O Fallon, IL 62269-1945

Phone

(618) 206-8816

NPI assigned

Sep 13, 2020

Last updated

Sep 13, 2020By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Acorn Health of Illinois, LLC

  • Behavior Analyst
  • O'Fallon, IL
  • NPI 1144867854
  NPD

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1710592092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 KUTZ ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622062112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EAGLE CTR STE 1",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691945",
            "telephone_number": "618-206-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINBUSH",
        "first_name": "TREMIYA",
        "middle_name": "RENAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porscha Williams
• Stephanie Williams
• Amanda Lee Wilson, OTR/L
• Dominique Marie Wilson, MA, LCPC, CRC
• Tessa Wilson
• Roxanne Winebaugh, DMD
• Margaret Winkeler, RN, IBCLC, CEIM
• Laurean Jada Winston, PA-C
• Jamie Winters
• Zachariah Wisnasky, RN

• Behavior Technician in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; 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.