OrganizationActive
Skin Renaissance
NPI 1962952275 · Clinic/Center · Chesapeake, VA
Skin Renaissance is a Clinic/Center organization in Chesapeake, VA (NPI 1962952275).
Provider details
- NPI number
- 1962952275
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Julie Trask, Owner(757) 410-2833
- License
- 0024170014 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
312 Cedar Lakes Dr
Suite 103
Chesapeake, VA 23322-8374
Phone: (757) 410-2833
Fax: (757) 819-7591
Street-level locationGet directions
Mailing address
312 Cedar Lakes Dr
Chesapeake, VA 23322-8374
Registry dates
- Enumerated
- 2016-10-11
- Last updated
- 2016-10-11
Frequently asked questions
- What is Skin Renaissance's NPI number?
- Skin Renaissance's National Provider Identifier (NPI) is 1962952275, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Skin Renaissance?
- Skin Renaissance is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Skin Renaissance located?
- Skin Renaissance's practice location on file with NPPES is 312 Cedar Lakes Dr, Chesapeake, VA 23322-8374.
- What is Skin Renaissance's phone number?
- The practice phone number listed in the NPPES registry for Skin Renaissance is (757) 410-2833.
- Who is the authorized official for Skin Renaissance?
- The authorized official listed on Skin Renaissance's NPPES record is Julie Trask, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Skin Renaissance's NPI active?
- Yes — Skin Renaissance's NPI (1962952275) is active in the NPPES registry as of the last update on 2016-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.