Organization Active NPI

Salt and Light Wellness PLLC

  • Primary Care Clinic/Center
  • Wethersfield, CT
National Provider Identifier
1881401578
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SALT AND LIGHT WELLNESS PLLC
Practice address
61 Arrow Rd Ste 107a
Wethersfield, CT 06109-1357
Phone
(860) 851-3545
Fax
(860) 266-1127
NPI assigned
Dec 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Vallerie Michelle Rosado, APRNNPI 1841764305
Title
Owner
Phone
(845) 851-3545

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Health Service Clinic/Center 261QH0100X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

61 Arrow Rd Ste 107a
Wethersfield, CT 06109-1357

Mailing address

61 Arrow Rd Ste 107a
Wethersfield, CT 06109-1357
Phone (860) 851-3545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250220000220 CT Part B Supplier - Clinic/Group Practice 2961922091 Receives reassigned benefits from 2 practitioners
Practice locations: Wethersfield, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2316354Salt and Light Wellness LLC61 Arrow Road, Suite 103, Wethersfield, CT 06109Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory

Locations

61 Arrow Rd
Ste 107A
Wethersfield, CT 06109
Phone (860) 851-3545

Practitioners & affiliated clinicians

Practitioners 1

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": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1881401578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 ARROW RD STE 107A",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091357",
            "telephone_number": "860-851-3545",
            "fax_number": "860-266-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 ARROW RD STE 107A",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091357",
            "telephone_number": "860-851-3545",
            "fax_number": "860-266-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT AND LIGHT WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "VALLERIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-851-3545",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.