Beewell Clinic Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BEEWELL CLINIC INC

Practice address

401 Michigan St
Pueblo, CO 81004-2138

Phone

(719) 251-5132

NPI assigned

Oct 7, 2024

Last updated

Oct 25, 2024By 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

Nicklaus Rendler

Title

Credentialing and Business Manager

Phone

(719) 251-5132

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Interoperability endpoints

• FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/507425/r4

Practitioners 2

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.

• Alanna Michele Fenlon, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pueblo, CO
  • NPI 1457690232
  Medicare reassignment Care Compare group NPD
• Jamie Kathryn Rendler, FNP-C WOCN-AP CLT

  • Family Nurse Practitioner
  • Pueblo, CO
  • NPI 1861808750
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1881413896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MICHIGAN ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MICHIGAN ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042138",
            "telephone_number": "719-251-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEEWELL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "RENDLER",
        "authorized_official_first_name": "NICKLAUS",
        "authorized_official_title_or_position": "CREDENTIALING AND BUSINESS MANAGER",
        "authorized_official_telephone_number": "719-251-5132"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beck3 Inc (TMJ-Sleep Colorado)
• Robert Thomas Becker III, M.D.
• Michelle Rene Bedford, COTA
• Lindsey Rebecca Beeman, L.M.T.
• Beers Trucking Inc.
• Arissa Begano, MOT, OTR/L
• Candice C Beggs
• Elizabeth Behm, LPC
• Rochelle J. Beier-Kemmet
• Belezza, LLC (Orange Skye Spa)

• Psychiatric/Mental Health Nurse Practitioner in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.