Rennes Rehabilitation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1402-27 Issued in WI

Legal business name

RENNES REHABILITATION

Practice address

325 E Florida Ave
Appleton, WI 54911-1325

Phone

(920) 731-7310

Fax

(920) 733-3050

NPI assigned

Jun 3, 2016

Last updated

Jun 3, 2016By 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

Kerri GullicksonNPI 1194984807

Title

Dor

Phone

(920) 731-7310

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, and the practitioner matching its NPPES authorized official.

• Kerri Lee Gullickson, OTR

  • Occupational Therapist
  • Appleton, WI
  • NPI 1194984807
  Authorized official Same address or phone

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1851749576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E FLORIDA AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111325",
            "telephone_number": "920-731-7310",
            "fax_number": "920-733-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E FLORIDA AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111325",
            "telephone_number": "920-731-7310",
            "fax_number": "920-733-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENNES REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "GULLICKSON",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "DOR",
        "authorized_official_telephone_number": "920-731-7310"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "1402-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Julian Renard, DPM
• Audrey Renier
• Sydney Renier
• Miranda M Renner, SAC-IT
• Rennes Assisted Living Corp. (Renaissance - Appleton)
• Beth E. Resch, APNP
• Kathleen Ann Reschar, MS, CCC-SLP
• Rest and Rise Respite Services LLC
• Grahme Joseph Retzlaff
• Revamp Hormone Repalcement and Medical Weight Loss (Revamp Hormone Replacement & Weight Loss)

• Skilled Nursing Facility in Appleton, WI
• Providers in Appleton, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.