AJUVA MEDICAL AESTHETICS, PLLC (NPI# 1790025203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790025203 |
| Entity Type | Organization |
| Organization Name | AJUVA MEDICAL AESTHETICS, PLLC |
| Other Organization Name | AJUVA SPA |
| Practice Address |
9425 N Nevada St Suite 300 Spokane WA 99218-5014 |
| Practice Telephone | 5094687546 |
| Practice Fax Number | 5094658886 |
| Mailing Telephone | 5094687546 |
| Mailing Fax Number | 5094658886 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |
| Authorized Official Name | DR. DEBRA J RAVASIA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5094658885 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
M0045314 | WA | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| Ajuva Spa | Other Name - Individual/Organization |
| Street Address |
9425 N NEVADA ST SUITE 300 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99218-5014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578797791 | Women's Health Connection Ambulatory Surgery Center | Clinic/Center | 9425 N Nevada St, Suite 300, Spokane, WA 99218-5014 | 2009-05-04 |
| 1558993089 | Jolanta Grzybowski | Speech-Language Pathologist | 9425 N Nevada St, Spokane, WA 99218-5014 | 2020-02-12 |
| 1780216986 | Marisa A Kendo | Occupational Therapist | 9425 N Nevada St, Spokane, WA 99218-5014 | 2020-02-06 |
| 1891353041 | Sierra Nicole Dixon | Occupational Therapist | 9425 N Nevada St, Spokane, WA 99218-5014 | 2019-06-03 |
| 1477934578 | Mt. Spokane Pediatrics, Pllc | Occupational Therapy Assistant | 9425 N Nevada St, Suite 104, Spokane, WA 99218-5014 | 2015-06-15 |
| 1609266121 | Ashton Wegeleben | Physician Assistant | 9425 N Nevada St, Suite 300, Spokane, WA 99218-5014 | 2015-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282455 | Timary Mathena | Specialist/Technologist | 11107 North Astor Road, Spokane, WA 99218 | 2018-04-19 |
| 1619423316 | Hi5 Orthodontics | Clinic/Center | 9425 N Nevaa, Suite 100, Spokane, WA 99218 | 2016-09-01 |
| 1245689389 | Heather Beats | Massage Therapist | 101 E. Hastings Rd. Ste G, Spokane, WA 99218 | 2016-06-09 |
| 1770979411 | Sparks Massage LLC-dba Elements Masssage | Massage Therapist | 101 E. Hastings Rd., Spokane, WA 99218 | 2015-04-09 |
| 1902295363 | Annabelle Morgan | Midwife | 11725 N Lincoln Ct, Spokane, WA 99218 | 2015-01-22 |
| 1578967543 | Deana Marie Ray | Massage Therapist | 1231 N Division, Ste 105, Spokane, WA 99218 | 2014-10-20 |
| 1770909889 | Krista Dye | Occupational Therapist | 9827 N Nevada, Spokane, WA 99218 | 2014-03-13 |
| 1265855845 | Breanna Zeis | Massage Therapist | 624 W. Hastings, Suite 16, Spokane, WA 99218 | 2014-02-02 |
| 1730516642 | Christie Nygaard | Massage Therapist | 101 E. Hastings Rd, Spokane, WA 99218 | 2013-10-09 |
| 1629312749 | Michelle Reid | Community Health Worker | 10709 N Madison, Spokane, WA 99218 | 2012-11-15 |
| Find all providers in zip 99218 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144437864 | Joan Milton | Dietitian, Registered | 910 N Washington St Ste 209, Spokane, WA 99201-2260 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548401425 | Jennifer Nixon Yahn | Dietitian, Registered | 3714 Lincoln Ct Ne, Renton, WA 98056-8022 | 2009-03-23 |
| 1568635993 | Melonie S. Trudell | Dietitian, Registered | 2510 Hall Creek Rd, Inchelium, WA 99138-9503 | 2008-04-07 |
| 1659737658 | Christine Kreins | Dietitian, Registered | 125 130th St Se, First Floor, Everett, WA 98208-6401 | 2016-01-06 |
| 1225380629 | Patrick Alan Johnson | Dietitian, Registered | 1115 W Bay Dr Nw, Suite 202, Olympia, WA 98502-4658 | 2012-10-09 |
Please comment or provide details below to improve the information on AJUVA MEDICAL AESTHETICS, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.