Rejuvenate Aesthetics and Wellness, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

REJUVENATE AESTHETICS AND WELLNESS, LLC

Practice address

210 Lincoln St Ste 301
Worcester, MA 01605-2529

Phone

(508) 926-8029

NPI assigned

Mar 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Brenda Liz Gonzalez, FNP-BCNPI 1417562729

Title

Nurse Practitioner

Phone

(508) 926-8029

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Brenda L Gonzalez, FNP-BC

  • Family Nurse Practitioner
  • Worcester, MA
  • NPI 1417562729
  NPD Authorized official

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1902554009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LINCOLN ST STE 301",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052529",
            "telephone_number": "508-926-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LINCOLN ST STE 301",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052529",
            "telephone_number": "508-926-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATE AESTHETICS AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LIZ",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "508-926-8029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Ann Reimonn, DO
• Mary Catherine Reinsch, MT-BC
• Joseph Reisman, DPT
• Sheryl Reiter, OT
• Lily Reitzel
• Release and Rebuild Counseling Services,LLC
• Reliable Care Transportation LLC
• Reliable Home Care Services
• Reliable Medica Transport LLC.
• Reliable Respiratory, Inc.

• Health Service Clinic/Center in Worcester, MA
• Providers in Worcester, MA by specialty
• Health Service Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.