Organization Active NPI

Renova Health LLC

  • Women's Health Nurse Practitioner
  • Brewer, ME
National Provider Identifier
1881500320
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
RENOVA HEALTH LLC
Practice address
34 Abbott St Ste 12
Brewer, ME 04412-2291
Phone
(207) 631-6141
Fax
(207) 433-1511
NPI assigned
Aug 24, 2026
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Jaime Williams, FNPNPI 1780361188
Title
Owner
Phone
(207) 478-2778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NU Primary

Addresses

Primary practice location

34 Abbott St Ste 12
Brewer, ME 04412-2291

Mailing address

2023 Hemlock Dr
Hermon, ME 04401-0274
Phone (207) 631-6141

National Provider Directory

National Provider Directory

Locations

34 Abbott St
Ste 12
Brewer, ME 04412

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1881500320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 HEMLOCK DR",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010274",
            "telephone_number": "207-631-6141",
            "fax_number": "207-433-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 ABBOTT ST STE 12",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122291",
            "telephone_number": "207-631-6141",
            "fax_number": "207-433-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-478-2778",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewer, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.