Urgent Care of Bristol, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

URGENT CARE OF BRISTOL, LLC

Practice address

576 Farmington Ave
Bristol, CT 06010-3933

Phone

(860) 845-5763

NPI assigned

Nov 1, 2019

Last updated

Oct 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeannie Kenkare, DO

Title

Cmo

Phone

(203) 616-4440

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1255975330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1339",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060336339",
            "telephone_number": "860-650-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 FARMINGTON AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103933",
            "telephone_number": "860-845-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE OF BRISTOL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "KENKARE",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "203-616-4440",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Marie Tye, M.S., CCC-SLP
• Swarnalatha Uday Sumathy, MD
• Unheard Words
• Shweta Upadhyay
• Donna Urbinati, APRN
• Susan T Urrows, APRN
• Usacs of Connecticut, LLC
• Favor Okwuchukwu Uwaya
• Jitesh Vachhani, M.D.
• Jessica J Vanderfeen, AU.D., CCC-A

• Urgent Care Clinic/Center in Bristol, CT
• Providers in Bristol, CT by specialty
• Urgent Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.