Active NPI
Junewood Med Spa & Wellness Inc
- Primary Care Nurse Practitioner
- Madisonville, KY
National Provider Identifier
1730004425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- JUNEWOOD MED SPA & WELLNESS INC
- Practice address
- 1235 Nebo Rd
Madisonville, KY 42431-8827 - Phone
- (270) 871-4070
- NPI assigned
- Aug 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Regina J Sisk, DNP, APRN
- Title
- Owner
- Phone
- (270) 871-9100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
1235 Nebo Rd
Madisonville, KY 42431-8827
Mailing address
4440 State Route 1835
Slaughters, KY 42456-9286
Phone (270) 871-4070
National Provider Directory
National Provider DirectoryLocations
1235 Nebo Rd
Madisonville, KY 42431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786406400000",
"number": "1730004425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 STATE ROUTE 1835",
"city": "SLAUGHTERS",
"state": "KY",
"postal_code": "424569286",
"telephone_number": "270-871-4070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 NEBO RD",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424318827",
"telephone_number": "270-871-4070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUNEWOOD MED SPA & WELLNESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-11",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A",
"authorized_official_last_name": "SISK",
"authorized_official_first_name": "REGINA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-871-9100",
"authorized_official_credential": "DNP, APRN"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.