Organization Active NPI

Skinovation Advanced Aesthetics

  • Nurse Practitioner
  • Arden, NC
National Provider Identifier
1043918238
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.