Organization Active NPI

Sorelle Wellness LLC

  • Clinic/Center
  • Louisville, KY
National Provider Identifier
1023979903
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Mrs. Shavon Prentice, APRNNPI 1962782128
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.