Madison County Aesthetics

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MADISON COUNTY AESTHETICS

Doing business as

Rejuvenate RX

Practice address

236 E Main St
Richmond, KY 40475-1628

Phone

(859) 582-1087

NPI assigned

Aug 6, 2024

Last updated

Sep 23, 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

Mrs. Kaylee Faye Phelps

Title

Credentialing Specialist

Phone

(859) 625-4663

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rejuvenate RX Doing business as

Locations

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.

• Elizabeth Taheny, APRN, FNP-C

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1255804209
  NPD

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1033949854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 E MAIN ST",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751628",
            "telephone_number": "859-582-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 E MAIN ST",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751628",
            "telephone_number": "859-582-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COUNTY AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "KAYLEE",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "859-625-4663",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100571220",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuvenate RX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rejuvenate RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristi Wininger Lunceford
• Rebecca Luttrell, APRN
• Lymphatic & Occupational Mobile Rehab PLLC
• Kimberly Lyons, R.PH.
• M & M Drug Inc (M & M Drug Store)
• Madison County Board of Education
• Madison County Clinic
• Madison County EMS (Madison Co EMS)
• Madison County Health Department (Daniel Boone Elementary)
• Madison County Health Department

• Clinic/Center in Richmond, KY
• Providers in Richmond, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.