Active NPI
Sorelle Wellness LLC
- Clinic/Center
- Louisville, KY
National Provider Identifier
1023979903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SORELLE WELLNESS LLC
- Practice address
- 927 W Main St
Louisville, KY 40202-2621 - Phone
- (502) 208-5787
- Fax
- (502) 690-4364
- NPI assigned
- Nov 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shavon Prentice, APRN
- Title
- Ceo/Nurse Practitioner
- Phone
- (502) 767-8392
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
927 W Main St
Louisville, KY 40202-2621
Mailing address
6803 Fegenbush LN
Louisville, KY 40228-1371
Phone (502) 208-5787
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1962782128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763596800000",
"number": "1023979903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6803 FEGENBUSH LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402281371",
"telephone_number": "502-208-5787",
"fax_number": "502-690-4364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 W MAIN ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022621",
"telephone_number": "502-208-5787",
"fax_number": "502-690-4364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SORELLE WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-20",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A",
"authorized_official_last_name": "PRENTICE",
"authorized_official_first_name": "SHAVON",
"authorized_official_title_or_position": "CEO/NURSE PRACTITIONER",
"authorized_official_telephone_number": "502-767-8392",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.