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MW WELLNESS II, LLC
NPI 1558819201
Family Medicine in Bristol, CT

Active since September 12, 2016CLIA 07D2124643 · Waiver
99 FARMINGTON AVE, BRISTOL, CT 06010(813) 228-6334 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mw Wellness Ii, Llc NPPES

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

MW WELLNESS II, LLC (NPI 1558819201) is a healthcare organization registered as a family medicine in Bristol, Connecticut and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through January 22, 2027 and lists Jodi Despoy, Manager, as its authorized official.

NPPES Registry Identity

NPI1558819201
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMW WELLNESS II, LLC
Location Address99 FARMINGTON AVEBristol, CT 06010-4226
Mailing Address509 S Hyde Park AveTampa, FL 33606-2266 · (813) 228-6763
Phone(813) 228-6334
Organization SubpartNo
Authorized OfficialJodi DespoyManager · (813) 228-6334
Enumeration DateSeptember 12, 2016
Last NPPES UpdateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1558819201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
99 FARMINGTON AVE, Bristol, CT 06010
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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 07D2124643

Mw Wellness II, LLC · Bristol, CT
Active · expires Jan 22, 2027
CLIA Number07D2124643
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorRenee Prince
Laboratory Phone(860) 516-5900
Laboratory LocationMw Wellness II, LLC99 Farmington Ave, Suite 15, Bristol, CT 06010
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 2

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

CHYENNE GIARNESE APRN
Nurse Practitioner (Family)
99 FARMINGTON AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 516-5900
FEET FIRST LTD
Prosthetic/Orthotic Supplier
99 FARMINGTON AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 583-3373

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 Mw Wellness II, LLC's NPI number?

The NPI number for Mw Wellness II, LLC is 1558819201. It was assigned to this organization in the NPPES registry on September 12, 2016.

Where is Mw Wellness II, LLC located?

Mw Wellness II, LLC is located at 99 Farmington Ave, Bristol, CT 06010. The listed phone number is (813) 228-6334.

What is Mw Wellness II, LLC's specialty?

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

Does Mw Wellness II, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2124643) is associated with this NPI, valid through January 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mw Wellness II, LLC was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.