Ethica Wellcare Technologies LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

ETHICA WELLCARE TECHNOLOGIES LLC

Practice address

450 S Orange Ave
Orlando, FL 32801-3383

Phone

(407) 930-9551

NPI assigned

Mar 31, 2022

Organization subpart

Yes

Parent organization

ETHICA WELLCARE TECHNOLOGIES LLCAs reported in NPPES

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

Authorized official

Name

Erica Vallee

Title

Director

Phone

(619) 997-6053

Specialties & licenses 13

Addresses

Other names 2

• Ethica Wellcare Doing business as
• ModifyU Doing business as

Electronic endpoints 2

Part of

Ethica Wellcare Technologies LLC

Practitioners 1

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

• Marissa Early

  • Counselor
  • Orlando, FL
  • NPI 1437890878

  Specialist

  NPD

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1073253746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013383",
            "telephone_number": "407-930-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013383",
            "telephone_number": "407-930-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHICA WELLCARE TECHNOLOGIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ETHICA WELLCARE TECHNOLOGIES LLC",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "VALLEE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-997-6053"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@ethicawellcare.com",
            "affiliation": "N",
            "endpointDescription": "Corporate Private Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure HIE Email",
            "address_1": "450 S Orange Ave",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328013383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mearly@ethicawellcare.com",
            "affiliation": "N",
            "endpointDescription": "Private Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "450 S Orange Ave",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328013383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ethica Wellcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ethica Wellcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ModifyU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Marie Estrera
• Esuna PLLC
• Etairos Health, Inc
• Sarah Etheridge-Perkins
• Ethic Health Services, LLC
• Cheikh Ethmane Abou El Maali, MD
• Ethos Health Group Orlando
• Marilyne Etienne, PA-C
• Trayvond Etienne, MS
• Wilhelmine Johanne Etienne, CRNA

• Primary Care Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.