The Wellness Nurse Concierge Lab Services L.L.C.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

THE WELLNESS NURSE CONCIERGE LAB SERVICES L.L.C.

Practice address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Phone

(954) 380-1852

NPI assigned

Jan 5, 2022

Organization subpart

No

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

Authorized official

Name

Lashanta Rolle, RNNPI 1659038586

Title

Owner

Phone

(954) 380-1852

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lashanta A Rolle, RN

  • Registered Nurse
  • Fort Lauderdale, FL
  • NPI 1659038586
  NPD Authorized official

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1700547346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4952 WINDWARD WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125245",
            "telephone_number": "954-380-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "954-380-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS NURSE CONCIERGE LAB SERVICES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "ROLLE",
        "authorized_official_first_name": "LASHANTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-380-1852",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Rock Clinic LLC
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• The Wellness Collective Boutique
• The Wilson Approach
• Crisha Massieu Thebeau, LMHC
• Jomon John Thekkethottiyil
• Karen Theobald, ARNP
• Theodore J. Machler, Jr., M.D., P.a.

• Clinical Medical Laboratory in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.