Renew Yourself Health and Beauty Bar

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

Legal business name

RENEW YOURSELF HEALTH AND BEAUTY BAR

Practice address

1467 Oxpens Rd
Warrenville, SC 29851-3295

Phone

(803) 645-2489

NPI assigned

Dec 20, 2021

Last updated

Sep 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamika GloverNPI 1902481393

Title

Owner

Phone

(803) 645-2489

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamika Glover, AGACNP

  • Acute Care Nurse Practitioner
  • Augusta, GA
  • NPI 1902481393
  NPD Authorized official

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1720748668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 OXPENS RD",
            "city": "WARRENVILLE",
            "state": "SC",
            "postal_code": "298513295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 OXPENS RD",
            "city": "WARRENVILLE",
            "state": "SC",
            "postal_code": "298513295",
            "telephone_number": "803-645-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW YOURSELF HEALTH AND BEAUTY BAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "JAMIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-645-2489"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail L. Johnson
• Katherine Colleran Klein, RN
• Tanya Louise Lunsford
• An-NA Song Ousley
• Regional Ambulance Service, Inc
• Holly Brooke Rittenberry
• Southern Care Providers, LLC
• Cynthia Ann Tomaszewski, M.S., CCC-SLP
• Ashley H Wheeler, AG ACNP BC
• Lisa Weatherford Yascavage, RN

• Acute Care Nurse Practitioner in Warrenville, SC
• Providers in Warrenville, SC by specialty
• Acute Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.