Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COMMUNITY ROOTS INTEGRATIVE HEALTH AND PRIMARY CARE, PLLC
NPI 1194656488
Nurse Practitioner - Family in Whitinsville, MA

Q: What is Community Roots Integrative Health And Primary Care, PLLC's specialty?

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

Active since May 26, 2026CLIA 22D2348442 · Waiver

1099 PROVIDENCE RD, WHITINSVILLE, MA 01588(508) 500-8533(508) 983-8514 Get Directions Write a Review

NPPES record last updated: August 15, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 15, 2026, Jul 25, 2026, May 26, 2026 (3 updates tracked since 2026).

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About Community Roots Integrative Health And Primary Care, Pllc NPPES

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

COMMUNITY ROOTS INTEGRATIVE HEALTH AND PRIMARY CARE, PLLC (NPI 1194656488) is a healthcare organization registered as a family in Whitinsville, Massachusetts and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through August 5, 2028 and lists Justine Doyon, Owner, as its authorized official.

NPPES Registry Identity

NPI1194656488

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameCOMMUNITY ROOTS INTEGRATIVE HEALTH AND PRIMARY CARE, PLLC

Location Address1099 PROVIDENCE RDWhitinsville, MA 01588-2121

Mailing Address75 Ledgestone RdDouglas, MA 01516-2813 · (508) 320-5351

Phone(508) 500-8533

Fax(508) 983-8514

Organization SubpartNo

Authorized OfficialJustine DoyonOwner · (508) 320-5351

Enumeration DateMay 26, 2026

Last NPPES UpdateAugust 15, 20263 updates tracked since enumeration

NPPES CertifiedAugust 15, 2026

✔ NPI 1194656488 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

1099 PROVIDENCE RD, Whitinsville, MA 01588

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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

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 22D2348442

Community Roots Integrative Health And Primary Care · Whitinsville, MA

Active · expires Aug 5, 2028

CLIA Number22D2348442

Laboratory TypePhysician Office

Certificate Effective DateAugust 6, 2026

Certificate Expiration DateAugust 5, 2028

Laboratory DirectorJustine M. Doyon

Laboratory Phone(508) 320-5351

Laboratory LocationCommunity Roots Integrative Health And Primary Care1099 Providence Road, Whitinsville, MA 01588

CLIA data matches this NPI record on: Address Name Phone

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.

MS. JUSTINE DOYON FNP-C

Nurse Practitioner (Family)

1099 PROVIDENCE RD
WHITINSVILLE, MA 01588

Worcester County (508) 320-5351

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 Community Roots Integrative Health And Primary Care, PLLC's NPI number?

The NPI number for Community Roots Integrative Health And Primary Care, PLLC is 1194656488. It was assigned to this organization in the NPPES registry on May 26, 2026.

Where is Community Roots Integrative Health And Primary Care, PLLC located?

Community Roots Integrative Health And Primary Care, PLLC is located at 1099 Providence Rd, Whitinsville, MA 01588. The listed phone number is (508) 500-8533.

What is Community Roots Integrative Health And Primary Care, PLLC's specialty?

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

Does Community Roots Integrative Health And Primary Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2348442) is associated with this NPI, valid through August 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Roots Integrative Health And Primary Care, PLLC was last updated on August 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.