Renee Delene Violett

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

56009467 Issued in IL

Practice address

1901 N 13TH St
Herrin, IL 62948-2839

Phone

(618) 942-3274

Fax

(618) 942-8240

NPI assigned

Nov 14, 2008

Reactivated

Dec 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Illinois LLCGroup PAC ID 2365718277, 361 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Empowerme Rehabilitation Illinois, LLC

  • Occupational Therapist
  • Edwardsville, IL
  • NPI 1679098263
  Medicare reassignment Care Compare group NPD
• Empowerme Wellness Kansas City, LLC

  • Multi-Specialty Clinic/Center
  • Belleville, IL
  • NPI 1174118103

  Occupational Therapist

  Medicare reassignment NPD
• Sunshine Gardens Nursing & Rehab LLC

  • Skilled Nursing Facility
  • Marion, IL
  • NPI 1629669916
  Medicare reassignment
• Empowerme Rehabilitation Illinois, LLC

  • Rehabilitation Clinic/Center
  • Mount Carmel, IL
  • NPI 1962073734

  Occupational Therapist

  NPD
• Empowerme Wellness Kansas City, LLC

  • Rehabilitation Clinic/Center
  • Liberty, MO
  • NPI 1174299044
  NPD

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1821242066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N 13TH ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629482839",
            "telephone_number": "618-942-3274",
            "fax_number": "618-942-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N 13TH ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629482839",
            "telephone_number": "618-942-3274",
            "fax_number": "618-942-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLETT",
        "first_name": "RENEE",
        "middle_name": "DELENE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "deactivation_date": "2023-12-05",
        "reactivation_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.002728",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "56009467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Utley, APN
• Ted G Van Acker, D.O.
• Richard P Vicenzi, ATHLETIC TRAINER
• Kara Iris Abigail Vidales, RBT
• Dawn Violett
• Vna Homecare, Inc.
• Vna Homecare, Inc.
• Jennifer Sue Wade, MOT OTR/L
• Angela Wagner
• Shannon Waldon, CSA

• Occupational Therapist in Herrin, IL
• Providers in Herrin, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.