Active NPI
Bodywise Health Collaborative PLLC
- Family Nurse Practitioner
- Pittsfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- BODYWISE HEALTH COLLABORATIVE PLLC
- Practice address
- 75 S Church St Ste 362
Pittsfield, MA 01201-6157 - Phone
- (413) 298-2420
- NPI assigned
- Aug 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Molly Z. Rivest, DNP, FNP
- Title
- Nurse Practitioner/Owner
- Phone
- (413) 298-2420
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
75 S Church St Ste 362
Pittsfield, MA 01201-6157
Mailing address
75 S Church St Ste 362
Pittsfield, MA 01201-6157
Phone (413) 298-2420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241030001409 | MA | Part B Supplier - Clinic/Group Practice | 7315470242 |
Receives reassigned benefits from 1 practitioner Practice locations: Pittsfield, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2314181 | Bodywise Health Collaborative, PLLC | Certificate of waiver | Nov 13, 2026 |
National Provider Directory
National Provider DirectoryLocations
75 S Church St
Pittsfield, MA 01201
Phone (413) 447-2862
75 S Church St
Ste 362
Pittsfield, MA 01201
Phone (413) 298-2420
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723766400000",
"number": "1104658343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 S CHURCH ST STE 362",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012016157",
"telephone_number": "413-298-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 S CHURCH ST STE 362",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012016157",
"telephone_number": "413-298-2420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODYWISE HEALTH COLLABORATIVE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-16",
"last_updated": "2024-08-16",
"certification_date": "2024-07-16",
"status": "A",
"authorized_official_last_name": "RIVEST",
"authorized_official_first_name": "MOLLY",
"authorized_official_middle_name": "Z.",
"authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
"authorized_official_telephone_number": "413-298-2420",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.