Whole Self Wellness, LLC
NPI 1588114870 · Primary Care Clinic/Center · Norwich, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Whole Self Wellness, LLC is a Primary Care Clinic/Center organization in Norwich, CT (NPI 1588114870).
Provider details
- NPI number
- 1588114870
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrea Dameron, Aprn/Owner(860) 222-0949
- License
- 004768 (CT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-10-11
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Frequently asked questions
- What is Whole Self Wellness, LLC's NPI number?
- Whole Self Wellness, LLC's National Provider Identifier (NPI) is 1588114870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Whole Self Wellness, LLC?
- Whole Self Wellness, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Whole Self Wellness, LLC located?
- Whole Self Wellness, LLC's practice location on file with NPPES is 12 Case St Ste 103, Norwich, CT 06360-2222.
- What is Whole Self Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Whole Self Wellness, LLC is (860) 222-0949.
- Does Whole Self Wellness, LLC accept Medicare?
- Whole Self Wellness, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Whole Self Wellness, LLC?
- The authorized official listed on Whole Self Wellness, LLC's NPPES record is Andrea Dameron, Aprn/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Whole Self Wellness, LLC's NPI active?
- Yes — Whole Self Wellness, LLC's NPI (1588114870) is active in the NPPES registry as of the last update on 2025-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.