Individual provider Active NPI

Alexia Eden Larose, CD-L

  • Doula
  • Wallingford, CT
National Provider Identifier
1598425308
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
71 Blakeslee Rd
Wallingford, CT 06492-5244
Phone
(413) 222-4917
NPI assigned
Dec 20, 2021
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 001951 CT
Doula 374J00000X Primary

Addresses

Primary practice location

71 Blakeslee Rd
Wallingford, CT 06492-5244

Mailing address

71 Blakeslee Rd
Wallingford, CT 06492-5244
Phone (413) 222-4917

Other practice location 1

705 New Britain Ave
Hartford, CT 06106-4039
Phone (860) 953-1201

Other practice location 2

195 Platt St
Milford, CT 06460-7542
Phone (203) 878-5958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001951CTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1598425308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 BLAKESLEE RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925244",
            "telephone_number": "413-222-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 BLAKESLEE RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925244",
            "telephone_number": "413-222-4917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 New Britain Ave",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061064039",
            "country_code": "US",
            "telephone_number": "860-953-1201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 Platt St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064607542",
            "country_code": "US",
            "telephone_number": "203-878-5958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAROSE",
        "first_name": "ALEXIA",
        "middle_name": "EDEN",
        "credential": "CD-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "001951",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.