Renae Janell Wellman

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201006725 Issued in MI

Practice address

1011 S US Highway 27 Ste a
Saint Johns, MI 48879-2423

Phone

(989) 224-4700

NPI assigned

Dec 9, 2018

Last updated

Dec 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Renae Janell Butcher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Great Lakes Home Health Services, Inc.

  dba Elara Caring

  • Home Health Agency
  • Jackson, MI
  • NPI 1588642110
  NPD (past)
• Great Lakes Home Health Services, Inc.

  dba Elara Caring Palliative Care

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Jackson, MI
  • NPI 1952988370
  NPD (past)

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544313600000",
    "number": "1932670445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 COPAS RD",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679036",
            "telephone_number": "989-472-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S US HIGHWAY 27 STE A",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792423",
            "telephone_number": "989-224-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLMAN",
        "first_name": "RENAE",
        "middle_name": "JANELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-09",
        "last_updated": "2018-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201006725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENAE",
            "last_name": "BUTCHER",
            "middle_name": "JANELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wal-Mart Stores East, LP (Vision Center 30-1423)
• Walgreen Co (Walgreens #10251)
• Sandra Elaine Warner
• Bryanna Ruth Weber, PA-C, RD
• Mark Weismiller, MD
• Emma Wells, M.A., CCC-SLP
• Mark S White, OD
• Noah White, PA
• Nina Lynn Whitehill, M.A., L.P.C.
• Wilder Counseling Services LLC

• Occupational Therapist in Saint Johns, MI
• Providers in Saint Johns, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2018; 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.