Rejuvatour PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

REJUVATOUR PLLC

Doing business as

Rejuva-Care Direct Care
Rejuvatour Medical Spa

Practice address

734 Cherryville Rd
Shelby, NC 28150-3625

Phone

(704) 477-3941

Fax

(980) 268-4377

NPI assigned

Jul 30, 2025

Last updated

Jul 30, 2025By 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

Mrs. Miranda B Kilby, DNPNPI 1962686923

Title

Owner

Phone

(704) 214-2487

Specialties & licenses 3

Addresses

Other names 2

• Rejuva-Care Direct Care Doing business as
• Rejuvatour Medical Spa Doing business as

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.

• Miranda B Kilby, FNP

  • Family Nurse Practitioner
  • Shelby, NC
  • NPI 1962686923
  NPD Authorized official

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1932082559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 CHERRYVILLE RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503625",
            "telephone_number": "704-477-3941",
            "fax_number": "980-268-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 CHERRYVILLE RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503625",
            "telephone_number": "704-477-3941",
            "fax_number": "980-268-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVATOUR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "KILBY",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-214-2487",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuva-Care Direct Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rejuvatour Medical Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Shelby, NC
• Providers in Shelby, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.