REJUVANATION
NPI 1629213814
Nurse Practitioner - Family in Bloomington, IL

Active since December 02, 2008
11 CURRENCY DR, BLOOMINGTON, IL 61704(309) 678-4243 Get Directions Write a Review

NPPES record last updated: December 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rejuvanation NPPES

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

REJUVANATION (NPI 1629213814) is a healthcare organization registered as a family in Bloomington, Illinois and active in the NPI registry since December 2008. The organization lists Shawn C Snider, Cnp, as its authorized official.

NPPES Registry Identity

NPI1629213814
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameREJUVANATION
Location Address11 CURRENCY DRBloomington, IL 61704-9398
Mailing Address11 Currency DrBloomington, IL 61704-9398
Organization SubpartNo
Authorized OfficialShawn C SniderCnp · (309) 278-0566
Enumeration DateDecember 2, 2008
NPI 1629213814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209005824
11 CURRENCY DR, Bloomington, IL 61704

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Physical Therapist
11 CURRENCY DR
BLOOMINGTON, IL 61704
Chiropractor
11 CURRENCY DR
BLOOMINGTON, IL 61704
Physical Therapist
11 CURRENCY DR
BLOOMINGTON, IL 61704

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 Rejuvanation's NPI number?

The NPI number for Rejuvanation is 1629213814. It was assigned to this organization in the NPPES registry on December 2, 2008.

Where is Rejuvanation located?

Rejuvanation is located at 11 Currency Dr, Bloomington, IL 61704. The listed phone number is (309) 678-4243.

What is Rejuvanation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Rejuvanation was last updated on December 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.