Rejuvenated Health & Wellness
NPI 1063000479 · Nurse Practitioner · Fort Mohave, AZ
Rejuvenated Health & Wellness is a Nurse Practitioner organization in Fort Mohave, AZ (NPI 1063000479).
Provider details
- NPI number
- 1063000479
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Nippies
- Organization subpart
- Yes
- Authorized official
- Dayna Blake, Fnp-Bc(928) 201-8289
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Rejuvenated Health & Wellness
Registry dates
- Enumerated
- 2021-01-02
- Last updated
- 2022-07-06
- Certified
- 2022-07-06
Frequently asked questions
- What is Rejuvenated Health & Wellness's NPI number?
- Rejuvenated Health & Wellness's National Provider Identifier (NPI) is 1063000479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rejuvenated Health & Wellness?
- Rejuvenated Health & Wellness is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Rejuvenated Health & Wellness located?
- Rejuvenated Health & Wellness's practice location on file with NPPES is 5221 S Highway 95 Ste 13, Fort Mohave, AZ 86426-9244.
- What is Rejuvenated Health & Wellness's phone number?
- The practice phone number listed in the NPPES registry for Rejuvenated Health & Wellness is (928) 234-7572.
- Who is the authorized official for Rejuvenated Health & Wellness?
- The authorized official listed on Rejuvenated Health & Wellness's NPPES record is Dayna Blake, Fnp-Bc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rejuvenated Health & Wellness's NPI active?
- Yes — Rejuvenated Health & Wellness's NPI (1063000479) is active in the NPPES registry as of the last update on 2022-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.