Organization Active NPI

Rejuvenate Health and Wellness

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1215713607
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
REJUVENATE HEALTH AND WELLNESS
Practice address
4200 Lake Otis Pkwy Ste 303
Anchorage, AK 99508-5226
Phone
(907) 206-2628
Fax
(907) 206-2935
NPI assigned
Sep 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Aderonke Akindipe, DNP
Title
Nurse Practitioner/Owner
Phone
(907) 206-2628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4200 Lake Otis Pkwy Ste 303
Anchorage, AK 99508-5226

Mailing address

4200 Lake Otis Pkwy Ste 303
Anchorage, AK 99508-5226
Phone (907) 206-2628

National Provider Directory

National Provider Directory

Locations

4200 Lake Otis Pkwy
Ste 303
Anchorage, AK 99508
Phone (907) 206-2628

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1215713607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LAKE OTIS PKWY STE 303",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085226",
            "telephone_number": "907-206-2628",
            "fax_number": "907-206-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LAKE OTIS PKWY STE 303",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085226",
            "telephone_number": "907-206-2628",
            "fax_number": "907-206-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "AKINDIPE",
        "authorized_official_first_name": "ADERONKE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "907-206-2628",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.