Rejuvenated Minds, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

134272 Issued in NC

Legal business name

REJUVENATED MINDS, PLLC

Practice address

3719 Benson Drive
Raleigh, NC 27609-7324

Phone

(919) 800-0757

Fax

(866) 626-1755

NPI assigned

Oct 7, 2013

Organization subpart

No

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

Authorized official

Name

Rachell Davis, PMHNP

Title

Sole Organizer

Phone

(919) 800-0757

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1381104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1588091532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 BENSON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097324",
            "telephone_number": "919-800-0757",
            "fax_number": "866-626-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 BENSON DRIVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097324",
            "telephone_number": "919-800-0757",
            "fax_number": "866-626-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATED MINDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-07",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RACHELL",
        "authorized_official_title_or_position": "SOLE ORGANIZER",
        "authorized_official_telephone_number": "919-800-0757",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "134272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Reiner, CRNA
• Katy Lauren Reines, MD
• Pamela J Reis, CNM, MSN
• Timothy Wayne Reis, D.O
• Mia Lynne Reives, LCSW
• Rejuvenating Lives LLC
• Rejuvenating Souls
• Rejuvenation House PLLC
• Rekha M Jain M.D.
• Gregory M. Rekuc, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.