Organization Active NPI

Rejuve Aesthetic & Wellness Center Inc

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1780290759
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
REJUVE AESTHETIC & WELLNESS CENTER INC
Practice address
2222 Bissonnet St Ste 103
Houston, TX 77005-2364
Phone
(281) 658-1045
Fax
(281) 569-4186
NPI assigned
Sep 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Jamie L Ferraro, APRN, FNP-C
Title
Co-Owner
Phone
(281) 658-1045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2222 Bissonnet St Ste 103
Houston, TX 77005-2364

Mailing address

8202 Teakwood Forest Dr
Spring, TX 77379-4538
Phone (281) 658-1045

Other names 1

  • PURAESTHETICS REJUVENATION AND WELLNESS Doing business as

National Provider Directory

National Provider Directory

Locations

2222 Bissonnet St
Ste 103
Houston, TX 77005
Phone (281) 658-1045

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": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1780290759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 TEAKWOOD FOREST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773794538",
            "telephone_number": "281-658-1045",
            "fax_number": "281-658-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 BISSONNET ST STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052364",
            "telephone_number": "281-658-1045",
            "fax_number": "281-569-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVE AESTHETIC & WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "FERRARO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "281-658-1045",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PURAESTHETICS REJUVENATION AND WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.