Revive Center for Health & Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

REVIVE CENTER FOR HEALTH & WELLNESS

Practice address

281 Hartford Tpke Ste 106
Vernon, CT 06066-4760

Phone

(860) 375-2227

Fax

(860) 603-5080

NPI assigned

Mar 9, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer Maria Sousa Jerome, MSN, APRN, FNP-BCNPI 1134661531

Title

Nurse Practitioner

Phone

(860) 375-2227

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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

CLIA laboratory certificates

Interoperability endpoints

• Direct secure messaging: jenniferjeromeaprn@revivectrhealthwellness.medentdirect.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Maria Sousa Jerome, APRN

  • Family Nurse Practitioner
  • Vernon, CT
  • NPI 1134661531
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1548917594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 HARTFORD TPKE STE 106",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664760",
            "telephone_number": "860-375-2227",
            "fax_number": "860-603-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 HARTFORD TPKE STE 106",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664760",
            "telephone_number": "860-375-2227",
            "fax_number": "860-603-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE CENTER FOR HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "JEROME",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIA SOUSA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "860-375-2227",
        "authorized_official_credential": "MSN, APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134661531",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenniferjeromeaprn@revivectrhealthwellness.medentdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "281 Hartford Tpke Ste 106",
            "city": "Vernon",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060664760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura T Reagan, DC
• Alexis Redfield
• Erika Maria Reinhard, FNP
• Reliant Housecalls, PLLC
• Relieve Behavioral Health and Wellness LLC
• Patrene Rhoden, APRN
• Richard D. Fischer MD LLC
• Enza Rinaldi
• Meghan Elizabeth Robbins, MD
• Robert a. Kiel, D.M.D., LLC

• Family Nurse Practitioner in Vernon, CT
• Providers in Vernon, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.