Organization Active NPI

Core & Glow Wellness, PLLC

  • Primary Care Clinic/Center
  • Leominster, MA
National Provider Identifier
1891609491
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CORE & GLOW WELLNESS, PLLC
Practice address
40 Biscuit Hill Dr
Leominster, MA 01453-3968
Phone
(978) 490-8227
NPI assigned
Sep 30, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Cynthia Geronimo
Title
Nurse Practitioner
Phone
(351) 209-6377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

40 Biscuit Hill Dr
Leominster, MA 01453-3968

Mailing address

17 Pierce Ave # 104
Fitchburg, MA 01420-7111
Phone (351) 209-6377

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1891609491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PIERCE AVE # 104",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207111",
            "telephone_number": "351-209-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BISCUIT HILL DR",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533968",
            "telephone_number": "978-490-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE & GLOW WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "GERONIMO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "351-209-6377"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.