LUMINOSITY INTEGRATED REJUVENATION
NPI 1073364170
Clinic/Center - Primary Care in Paintsville, KY

Active since March 28, 2024CLIA 18D2320224 · Waiver
503 DEPOT ROAD, PAINTSVILLE, KY 41240(606) 793-5077 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Luminosity Integrated Rejuvenation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUMINOSITY INTEGRATED REJUVENATION (NPI 1073364170) is a healthcare organization registered as a primary care in Paintsville, Kentucky and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Jason Short, Owner, as its authorized official.

NPPES Registry Identity

NPI1073364170
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLUMINOSITY INTEGRATED REJUVENATION
Location Address503 DEPOT ROADPaintsville, KY 41240
Mailing AddressPo Box 55Staffordsville, KY 41256-0055 · (606) 793-5077
Organization SubpartNo
Authorized OfficialJason ShortOwner · (606) 793-5077
Enumeration DateMarch 28, 2024
NPPES CertifiedMarch 26, 2024
NPI 1073364170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
503 DEPOT ROAD, Paintsville, KY 41240

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2320224

Luminosity Integrated Rejuvenation · Paintsville, KY
Active · expires Mar 13, 2027
CLIA Number18D2320224
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorMr. Jason S. Short
Laboratory Phone(606) 372-2111
Laboratory LocationLuminosity Integrated Rejuvenation503 Depot Road, Paintsville, KY 41240
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
503 DEPOT ROAD
PAINTSVILLE, KY 41240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luminosity Integrated Rejuvenation's NPI number?

The NPI number for Luminosity Integrated Rejuvenation is 1073364170. It was assigned to this organization in the NPPES registry on March 28, 2024.

Where is Luminosity Integrated Rejuvenation located?

Luminosity Integrated Rejuvenation is located at 503 Depot Road, Paintsville, KY 41240. The listed phone number is (606) 793-5077.

What is Luminosity Integrated Rejuvenation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Luminosity Integrated Rejuvenation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2320224) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Luminosity Integrated Rejuvenation accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Luminosity Integrated Rejuvenation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Luminosity Integrated Rejuvenation was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.