Renewal Skin Solutions

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

RENEWAL SKIN SOLUTIONS

Practice address

453 Vista Dr
Sparta, TN 38583-1360

Phone

(931) 738-3383

Fax

(913) 738-8911

NPI assigned

May 11, 2010

Organization subpart

Yes

Parent organization

CUMBERLAND FAMILY CARE, P.C.As reported in NPPES

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

Authorized official

Name

Ms. Mischelle L Ferrell, MHA

Title

Practice Administrator

Phone

(931) 738-3383

Specialties & licenses 1

Addresses

Part of

Cumberland Family Care

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cumberland Family Care, P.C.

  dba Cumberland Family Care Diabetes Self-Management Out-Patient Program

  • Health Service Clinic/Center
  • Spencer, TN
  • NPI 1679771356
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Zaguirre Rayala, M.D.

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1013000173
  NPD (past)

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1184942476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 VISTA DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831360",
            "telephone_number": "931-738-3383",
            "fax_number": "931-738-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 VISTA DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831360",
            "telephone_number": "931-738-3383",
            "fax_number": "913-738-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL SKIN SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUMBERLAND FAMILY CARE, P.C.",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "MISCHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "931-738-3383",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Family Medicine
• Kevin Patrick Purgiel, D.O.
• Kathy Qualls
• Keith E Ray, DPH
• Leslie Ann Reagan, PHAMD
• Results-Ast JV, LLC
• Results-Ast JV, LLC
• Retire at Home Senior Care LLC
• Linda Smith Richardson, PT
• Sabra C Rinio, RPH

• Massage Therapist in Sparta, TN
• Providers in Sparta, TN by specialty
• Massage Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.