Integrative Core Wellness, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

INTEGRATIVE CORE WELLNESS, LLC

Practice address

112 Spencer St Ste 2a
Manchester, CT 06040-4601

Phone

(860) 797-0163

Fax

(978) 672-5448

NPI assigned

Aug 27, 2025

Organization subpart

No

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

Authorized official

Name

Vanessa Bolling, DNP, APRN, FNP-BCNPI 1902282569

Title

Ceo

Phone

(860) 995-2645

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.

• Vanessa Bolling

  • Family Nurse Practitioner
  • Glastonbury, CT
  • NPI 1902282569
  NPD Authorized official

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1902784820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SPENCER ST STE 2A",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404601",
            "telephone_number": "860-797-0163",
            "fax_number": "978-672-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SPENCER ST STE 2A",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404601",
            "telephone_number": "860-797-0163",
            "fax_number": "978-672-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CORE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "BOLLING",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-995-2645",
        "authorized_official_credential": "DNP, APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ifill
• Kree A Iglus
• Chinelo Iloeje
• Innovative Healthcare of Connecticut LLC
• Kevin Eduardo Insignares
• Ricardo Isaacs, CRNA
• Tenita Isaacs
• Chloe Isbell
• Aline Iskandar, M.D.
• Quazi T Islam, MD

• Primary Care Nurse Practitioner in Manchester, CT
• Providers in Manchester, CT by specialty
• Primary Care Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.