SKIN RENAISSANCE – Clinic/Center, NPI 1962952275

SKIN RENAISSANCE is a healthcare provider. based in Chesapeake, Virginia. specializing in Clinic/Center. The organization holds a License No. 0024170014 (VA). The NPI Number for SKIN RENAISSANCE is 1962952275

Main info

Organization
Name
SKIN RENAISSANCE
NPI
1962952275
Phone
(757) 410-2833
Address
312 CEDAR LAKES DR
Authorized Official
JULIE FOSTER TRASK OWNER R.N.
Enumeration Date
11 October 2016
Last Update Date
11 October 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for SKIN RENAISSANCE

  • 312, Cedar Lakes Drive, Pines of Warrick, Chesapeake, Virginia, 23322, United States

    SUITE 103

    CHESAPEAKE, VA 233228374

    Phone: (757) 410-2833

    Fax: (757) 819-7591

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23322)

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Reviews

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Frequently asked questions

What number should I use to identify SKIN RENAISSANCE for billing?
Administrative and clinical systems typically use NPI 1962952275 for SKIN RENAISSANCE.
Does the public listing show SKIN RENAISSANCE as active?
SKIN RENAISSANCE's NPI record reflects an active status in NPPES.
What services align with SKIN RENAISSANCE's listing?
SKIN RENAISSANCE's public classification highlights Clinic/Center. Clinical services aligned with this taxonomy classification.
Is SKIN RENAISSANCE tied to Chesapeake, Virginia?
If you are local to Chesapeake, Virginia, SKIN RENAISSANCE may be relevant to your search.
Why is information missing for SKIN RENAISSANCE?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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