SKIN RENAISSANCE
NPI 1962952275
Clinic/Center in Chesapeake, VA

Active since October 11, 2016
312 CEDAR LAKES DR, SUITE 103, CHESAPEAKE, VA 23322(757) 410-2833(757) 819-7591 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Skin Renaissance NPPES

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

SKIN RENAISSANCE (NPI 1962952275) is a healthcare organization registered as a clinic/center in Chesapeake, Virginia and active in the NPI registry since October 2016. The organization lists Julie Foster Trask, Owner, as its authorized official.

NPPES Registry Identity

NPI1962952275
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSKIN RENAISSANCE
Location Address312 CEDAR LAKES DR, SUITE 103Chesapeake, VA 23322-8374
Mailing Address312 Cedar Lakes Dr, Suite 103Chesapeake, VA 23322-8374 · (757) 410-2833 · Fax (757) 819-7591
Fax(757) 819-7591
Organization SubpartNo
Authorized OfficialJulie Foster TraskOwner · (757) 410-2833
Enumeration DateOctober 11, 2016
NPI 1962952275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in VA · 0024170014
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
312 CEDAR LAKES DR, Chesapeake, VA 23322

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 Skin Renaissance's NPI number?

The NPI number for Skin Renaissance is 1962952275. It was assigned to this organization in the NPPES registry on October 11, 2016.

Where is Skin Renaissance located?

Skin Renaissance is located at 312 Cedar Lakes Dr Suite 103, Chesapeake, VA 23322. The listed phone number is (757) 410-2833.

What is Skin Renaissance's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Skin Renaissance was last updated on October 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.