Renew Medical Aesthetics

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

RENEW MEDICAL AESTHETICS

Practice address

5565 Bendt Dr Ste 404
Rapid City, SD 57702-6805

Phone

(605) 608-2785

NPI assigned

Nov 21, 2024

Organization subpart

No

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

Authorized official

Name

Sarah Rodolph, CNP

Title

Owner

Phone

(605) 431-4397

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1790500973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 BENDT DR STE 404",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577026805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 BENDT DR STE 404",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577026805",
            "telephone_number": "605-608-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW MEDICAL AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "RODOLPH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-431-4397",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remedy Mental Health PLLC
• Julie Remmereid, ED.S
• David Alan Rempel, DDS
• Li Ren, PA-C
• Kent E Renaud, DPM
• Cassandra Rengifo
• Richard Pierce Renka, MD
• Abigail Renn, RD LN
• Resiliency Project (Resiliency Mental Health)
• Julia Angelic Ressl, RN

• Medical Specialty Clinic/Center in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Medical Specialty Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.