Organization Active NPI

Laurella Wellness and Aesthetics, LLC

Doing business as BodyLogics and Aesthetics

  • Family Medicine Physician
  • Rockledge, FL
National Provider Identifier
1275264848
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAURELLA WELLNESS AND AESTHETICS, LLC
Doing business as
BodyLogics and Aesthetics
Practice address
1954 US Highway 1 Ste 115
Rockledge, FL 32955-3761
Phone
(321) 338-7373
Fax
(321) 631-8545
NPI assigned
Jun 23, 2022
Last updated
Jun 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Kristen Laurella, APRNNPI 1629552351
Title
Ceo
Phone
(321) 338-7373

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1954 US Highway 1 Ste 115
Rockledge, FL 32955-3761

Mailing address

1954 US Highway 1 Ste 115
Rockledge, FL 32955-3761
Phone (321) 338-7373

Other names 1

  • BodyLogics and Aesthetics Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@bodylogics.net Health Information Exchange (HIE)
Direct Messaging Address provider@bodylogics.net Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1954 US Highway 1
Ste 115
Rockledge, FL 32955
Phone (321) 338-7373

Practitioners & affiliated clinicians

Practitioners 2

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": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1275264848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 US HIGHWAY 1 STE 115",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553761",
            "telephone_number": "321-338-7373",
            "fax_number": "321-631-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 US HIGHWAY 1 STE 115",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553761",
            "telephone_number": "321-338-7373",
            "fax_number": "321-631-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURELLA WELLNESS AND AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "LAURELLA",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-338-7373",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@bodylogics.net",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct  messaging",
            "address_1": "1954 US Highway 1 Ste 115",
            "city": "Rockledge",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329553761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "provider@bodylogics.net",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct message to provider",
            "address_1": "1954 US Highway 1 Ste 115",
            "city": "Rockledge",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329553761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BodyLogics and Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.