Joint Pain Relief Center LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

JOINT PAIN RELIEF CENTER LLC

Practice address

417 Highland Ave Ste B
Waterbury, CT 06708-3454

Phone

(203) 504-7518

NPI assigned

Oct 25, 2022

Organization subpart

No

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

Authorized official

Name

Kristen Donohue, NP

Title

NP Clinic Director

Phone

(203) 895-6572

Specialties & licenses 2

Addresses

Practitioners 1

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

• Kristen Donohue-Gonzalez, N.P.

  • Family Health Clinical Nurse Specialist
  • Stamford, CT
  • NPI 1184999468

  Family

  NPD

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1942927587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 HIGHLAND AVE STE B",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083454",
            "telephone_number": "203-895-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 HIGHLAND AVE STE B",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083454",
            "telephone_number": "203-504-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT PAIN RELIEF CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "DONOHUE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "NP CLINIC DIRECTOR",
        "authorized_official_telephone_number": "203-895-6572",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sri Johnson
• Stephanie Johnson, PTA
• Toni-Kae Johnson
• Caroline Johnssen, MD
• Marie G. Johnston, R.N., L.A.D.C.
• Joint Pain Treatment Center, LLC
• Lorraine Diane Jolly, LMT
• Jada Chantel Jones, PHLEBOTOMIST
• Janeika J Jones
• Jannet Jones, LADC

• All providers in Waterbury, CT
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.