Organization Active NPI

Bodywise Health Collaborative PLLC

  • Family Nurse Practitioner
  • Pittsfield, MA
National Provider Identifier
1104658343
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Aug 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Molly Z. Rivest, DNP, FNPNPI 1043692205
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2314181Bodywise Health Collaborative, PLLC75 South Church St, Pittsfield, MA 01201Certificate of waiverNov 13, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.