NPIMap

Organization Active NPI

Rejuv, LLC

  • Specialist
  • Bremerton, WA
National Provider Identifier
1316103732
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00020062 Issued in WA
Legal business name
REJUV, LLC
Practice address
2109 E 11TH St
Bremerton, WA 98310-4810
Phone
(360) 405-0293
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Julie N Poston, LMP
Title
Owner
Phone
(360) 405-0293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA00020062 WA Primary

Addresses

Primary practice location

2109 E 11TH St
Bremerton, WA 98310-4810

Mailing address

2109 E 11TH St
Bremerton, WA 98310-4810
Phone (360) 405-0293

National Provider Directory

National Provider Directory
Tax ID family
Rejuv LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2109 E 11th St
Bremerton, WA 98310
Phone (360) 405-0293

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1316103732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 E 11TH ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104810",
            "telephone_number": "360-405-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 E 11TH ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104810",
            "telephone_number": "360-405-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "POSTON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-405-0293",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00020062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.