Active NPI
Eleve Concierge Wellness, a Professioinal Nursing Corporation
- Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1154200475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- ELEVE CONCIERGE WELLNESS, A PROFESSIOINAL NURSING CORPORATION
- Practice address
- 916 Stonehill LN
Los Angeles, CA 90049-1413 - Phone
- (310) 633-1907
- Fax
- (310) 633-1907
- NPI assigned
- Aug 29, 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
- Caitlin Rose Bothwell
- Title
- Ceo
- Phone
- (310) 633-1907
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Physical Therapist | 225100000X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
916 Stonehill LN
Los Angeles, CA 90049-1413
Mailing address
916 Stonehill LN
Los Angeles, CA 90049-1413
Phone (310) 633-1907
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
- Los Angeles, CA
- NPI 1912881434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756425600000",
"number": "1154200475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 STONEHILL LN",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900491413",
"telephone_number": "310-633-1907",
"fax_number": "310-633-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 STONEHILL LN",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900491413",
"telephone_number": "310-633-1907",
"fax_number": "310-633-1907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVE CONCIERGE WELLNESS, A PROFESSIOINAL NURSING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-29",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A",
"authorized_official_last_name": "BOTHWELL",
"authorized_official_first_name": "CAITLIN",
"authorized_official_middle_name": "ROSE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-633-1907"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Cassandra Elenes, MS
- Eleonora Fedonenko MD and David Vizel MD a Professional Medical Co
- Gayle Elevado
- Elevatelife Therapy & Consulting, Licensed Clinical Social Worker, Inc
- Elevation Medical Group Inc
- Megan Eley
- Candace Eve Elgart, M.A. CCC SLP
- Haitham H Elgendi, DDS
- Roxanna Camelia Elghanayan, CCC-SLP
- Kristine A Elgin, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.