OrganizationActive
Rejuve Med Spa PLLC
NPI 1265748818 · Family Nurse Practitioner · Richmond, KY
Provider details
- NPI number
- 1265748818
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jody Johnson, Owner/Partner(859) 353-5570
- License
- 3528P (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
630 Eastern Bypass
Suite a
Richmond, KY 40475-2330
Phone: (859) 353-5570
Fax: (859) 353-5934
Street-level locationGet directions
Mailing address
630 Eastern Bypass
Richmond, KY 40475-2330
Other names (DBA / former)
- Doing business as
- Rejuve Medical Clinic
Registry dates
- Enumerated
- 2010-08-20
- Last updated
- 2010-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.