Organization Active NPI

Junewood Med Spa & Wellness Inc

  • Primary Care Nurse Practitioner
  • Madisonville, KY
National Provider Identifier
1730004425
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
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

Updated by the provider on Aug 11, 2026

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)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.