NPIMap

Organization Active NPI

Juniper Rejuvenation, LLC

  • Clinic/Center
  • Ivins, UT
National Provider Identifier
1326856428
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JUNIPER REJUVENATION, LLC
Practice address
1028 N Chusi Way
Ivins, UT 84738-6722
Phone
(410) 598-4165
NPI assigned
Dec 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Rosanne T Calure, NPNPI 1245245976
Title
Nurse Practitioner
Phone
(410) 598-4165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1028 N Chusi Way
Ivins, UT 84738-6722

Mailing address

1028 N Chusi Way
Ivins, UT 84738-6722
Phone (410) 598-4165

National Provider Directory

National Provider Directory

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": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1326856428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 N CHUSI WAY",
            "city": "IVINS",
            "state": "UT",
            "postal_code": "847386722",
            "telephone_number": "410-598-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 N CHUSI WAY",
            "city": "IVINS",
            "state": "UT",
            "postal_code": "847386722",
            "telephone_number": "410-598-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER REJUVENATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "CALURE",
        "authorized_official_first_name": "ROSANNE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "410-598-4165",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ivins, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.