Active NPI
Skinovation Advanced Aesthetics
- Nurse Practitioner
- Arden, NC
National Provider Identifier
1043918238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- SKINOVATION ADVANCED AESTHETICS
- Practice address
- 600 Julian LN
Arden, NC 28704-7813 - Phone
- (828) 551-2442
- NPI assigned
- Feb 17, 2023
- Last updated
- Mar 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendi Lonabaugh, DNP, FNP-BC
- Title
- Owner
- Phone
- (828) 279-5829
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary | |
| Primary Care Nurse Practitioner | 363LP2300X | NU | ||
| Gynecology Physician | 207VG0400X | NU |
Addresses
Primary practice location
600 Julian LN
Arden, NC 28704-7813
Mailing address
PO Box 188
Denver, NC 28037-0188
Phone (828) 551-2442
National Provider Directory
National Provider DirectoryLocations
600 Julian Ln
Arden, NC 28704
Phone (828) 551-2442
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.
-
- Family Nurse Practitioner
- Nebo, NC
- NPI 1972945236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678665600000",
"number": "1043918238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "DENVER",
"state": "NC",
"postal_code": "280370188",
"telephone_number": "828-551-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 JULIAN LN",
"city": "ARDEN",
"state": "NC",
"postal_code": "287047813",
"telephone_number": "828-551-2442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKINOVATION ADVANCED AESTHETICS",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-17",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A",
"authorized_official_last_name": "LONABAUGH",
"authorized_official_first_name": "WENDI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "828-279-5829",
"authorized_official_credential": "DNP, FNP-BC"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.