Rejuve Med Spa PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3528P Issued in KY

Legal business name

REJUVE MED SPA PLLC

Practice address

630 Eastern Bypass
Suite a
Richmond, KY 40475-2330

Phone

(859) 353-5570

Fax

(859) 353-5934

NPI assigned

Aug 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jody Johnson, MD

Title

Owner/Partner

Phone

(859) 353-5570

Specialties & licenses 1

Addresses

Other names 1

• Rejuve Medical Clinic Doing business as

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1265748818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 EASTERN BYPASS",
            "address_2": "SUITE A",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752330",
            "telephone_number": "859-353-5570",
            "fax_number": "859-353-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 EASTERN BYPASS",
            "address_2": "SUITE A",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752330",
            "telephone_number": "859-353-5570",
            "fax_number": "859-353-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVE MED SPA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "859-353-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3528P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuve Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa K Reedy-Johnson, MA
• Amy Louise Reeves
• Gulena Yvonne Reffett, NP
• Regina L McDaniels, MD, PLLC
• Ellen Reinhold, ATC
• Rellim, Inc.
• Judy Ann Renfro, APRN
• Sarah Ann Nicole Renko, APRN
• Resiliency Counselingservices, LLC
• Resp-a-Care Inc

• Family Nurse Practitioner in Richmond, KY
• Providers in Richmond, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.