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WELLNESS CONNECT GO BEYOND MEDICINE, LLC
NPI 1487203303
Family Medicine in Providence, RI

Active since September 04, 2019CLIA 41D2195153 · Waiver
655 BROAD ST STE 201, PROVIDENCE, RI 02907(401) 642-0100(833) 992-2318 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 5, 2020, May 19, 2020, Dec 8, 2019 and 2 more (5 updates tracked since 2019).

About Wellness Connect Go Beyond Medicine, Llc NPPES

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

WELLNESS CONNECT GO BEYOND MEDICINE, LLC (NPI 1487203303) is a healthcare organization registered as a family medicine in Providence, Rhode Island and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through October 6, 2026 and lists Miriannys Rivas, Fnp-c, as its authorized official.

NPPES Registry Identity

NPI1487203303
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLNESS CONNECT GO BEYOND MEDICINE, LLC
Location Address655 BROAD ST STE 201Providence, RI 02907-1444
Mailing Address655 Broad St Ste 201Providence, RI 02907-1444 · (401) 642-0100
Phone(401) 642-0100
Fax(833) 992-2318
Organization SubpartNo
Authorized OfficialMiriannys RivasFnp-c · (401) 642-0100
Enumeration DateSeptember 4, 2019
Last NPPES UpdateJanuary 24, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2024
✔ NPI 1487203303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
655 BROAD ST STE 201, Providence, RI 02907
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 41D2195153

Wellness Connect Go Beyond Medicine, LLC · Providence, RI
Active · expires Oct 6, 2026
CLIA Number41D2195153
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorMiriannys Rivas
Laboratory Phone(401) 642-0100
Laboratory LocationWellness Connect Go Beyond Medicine, LLC655 Broad St. Suite 201, Providence, RI 02907
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 3

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

WELLNESS CONNECT URGENT CARE INC
Clinic/Center (Urgent Care)
655 BROAD ST STE 201
PROVIDENCE, RI 02907
Providence County (401) 642-0100
HOPKINSON PHYSICAL THERAPY
Clinic/Center (Physical Therapy)
655 BROAD ST STE 201
PROVIDENCE, RI 02907
Providence County (401) 521-2214
MIRIANNYS RIVAS FNP-C
Nurse Practitioner (Family)
655 BROAD ST STE 201
PROVIDENCE, RI 02907
Providence County (401) 390-0734

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 Wellness Connect Go Beyond Medicine, LLC's NPI number?

The NPI number for Wellness Connect Go Beyond Medicine, LLC is 1487203303. It was assigned to this organization in the NPPES registry on September 4, 2019.

Where is Wellness Connect Go Beyond Medicine, LLC located?

Wellness Connect Go Beyond Medicine, LLC is located at 655 Broad St Ste 201, Providence, RI 02907. The listed phone number is (401) 642-0100.

What is Wellness Connect Go Beyond Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Wellness Connect Go Beyond Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D2195153) is associated with this NPI, valid through October 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellness Connect Go Beyond Medicine, LLC was last updated on January 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.