NPIMap

Organization Active NPI

Ella Esta Wellness LLC

  • Clinical Medical Laboratory
  • Birmingham, AL
National Provider Identifier
1790432730
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ELLA ESTA WELLNESS LLC
Practice address
1601 5TH Ave N Ste 147
Birmingham, AL 35203-1923
Phone
(205) 427-7865
NPI assigned
Mar 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Mrs. Shatwaina LesterNPI 1497325351
Title
Lead Phlebotomist
Phone
(205) 452-5474

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
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1601 5TH Ave N Ste 147
Birmingham, AL 35203-1923

Mailing address

1601 5TH Ave N Ste 147
Birmingham, AL 35203-1923
Phone (205) 427-7865

National Provider Directory

National Provider Directory

Locations

1601 5th Ave N
Ste 147
Birmingham, AL 35203
Phone (205) 427-7865

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": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1790432730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 5TH AVE N STE 147",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031923",
            "telephone_number": "205-427-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 5TH AVE N STE 147",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031923",
            "telephone_number": "205-427-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLA ESTA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "SHATWAINA",
        "authorized_official_title_or_position": "LEAD PHLEBOTOMIST",
        "authorized_official_telephone_number": "205-452-5474",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.