Organization Active NPI

Rivers Wellness

  • General Practice Physician
  • Wethersfield, CT
National Provider Identifier
1952146755
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RIVERS WELLNESS
Practice address
415 Silas Deane Hwy Ste 105
Wethersfield, CT 06109-2119
Phone
(717) 825-5275
NPI assigned
Jun 25, 2024
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Dr. Keith W Yimoyines, NDNPI 1629351531
Title
Owner
Phone
(717) 825-5275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

415 Silas Deane Hwy Ste 105
Wethersfield, CT 06109-2119

Mailing address

40 Crosshill Rd
West Hartford, CT 06107-3721
Phone (717) 825-5275

Other names 1

  • Keith Yimoyines Other name

National Provider Directory

National Provider Directory

Locations

415 Silas Deane Hwy
Ste 105
Wethersfield, CT 06109
Phone (717) 825-5275

Practitioners & affiliated clinicians

Practitioners 1

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": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1952146755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CROSSHILL RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073721",
            "telephone_number": "717-825-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SILAS DEANE HWY STE 105",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092119",
            "telephone_number": "717-825-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "YIMOYINES",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-825-5275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keith Yimoyines",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.