Organization Active NPI

Nolla Wellness, LLC

  • Acupuncturist
  • New Haven, CT
National Provider Identifier
1477395879
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
NOLLA WELLNESS, LLC
Practice address
493 Whitney Ave
New Haven, CT 06511-2394
Phone
(203) 691-5279
NPI assigned
Jun 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Marla Roscoe, DPT
Title
Co-Owner
Phone
(203) 691-5279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

493 Whitney Ave
New Haven, CT 06511-2394

Mailing address

493 Whitney Ave
New Haven, CT 06511-2394
Phone (203) 691-5279

National Provider Directory

National Provider Directory

Locations

493 Whitney Ave
New Haven, CT 06511
Phone (203) 691-5279

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": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1477395879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 WHITNEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112394",
            "telephone_number": "203-691-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 WHITNEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112394",
            "telephone_number": "203-691-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLLA WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "ROSCOE",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "203-691-5279",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.