NPIMap

Organization Active NPI

JSB Wellness, LLC

  • Family Medicine Physician
  • North Billerica, MA
National Provider Identifier
1336953082
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JSB WELLNESS, LLC
Practice address
99 Chelmsford Rd Ste 8
North Billerica, MA 01862-1351
Phone
(978) 580-9758
NPI assigned
Feb 4, 2025
Last updated
Feb 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
JSB WELLNESS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Jennifer S Beaudoin
Title
President/Owner
Phone
(978) 580-9758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

99 Chelmsford Rd Ste 8
North Billerica, MA 01862-1351

Mailing address

18 Birch Hill Dr
Methuen, MA 01844-4165
Phone (978) 580-9758

National Provider Directory

National Provider Directory
Tax ID family
JSB Wellness LLC2 organizations share this tax ID, including this one
Part of
JSB Wellness LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1336953082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BIRCH HILL DR",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444165",
            "telephone_number": "978-580-9758",
            "fax_number": "978-620-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CHELMSFORD RD STE 8",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018621351",
            "telephone_number": "978-580-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSB WELLNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JSB WELLNESS, LLC",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "BEAUDOIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "978-580-9758"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.