Organization Active NPI

Shaped Health and Wellness

  • Clinic/Center
  • Gastonia, NC
National Provider Identifier
1023827342
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SHAPED HEALTH AND WELLNESS
Practice address
2020 Remount Rd Ste E-105
Gastonia, NC 28054-7476
Phone
(704) 931-8286
NPI assigned
Jan 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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

Authorized official

Name
Ms. Christyle RaineyNPI 1518506997
Title
Owner
Phone
(704) 678-2403

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2020 Remount Rd Ste E-105
Gastonia, NC 28054-7476

Mailing address

2020 Remount Rd Ste E105
Gastonia, NC 28054-7476

National Provider Directory

National Provider Directory

Locations

2020 Remount Rd
Ste E105
Gastonia, NC 28054
Phone (704) 421-5464

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": "1735689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735689600000",
    "number": "1023827342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 REMOUNT RD STE E105",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 REMOUNT RD STE E-105",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547476",
            "telephone_number": "704-931-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPED HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-01",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A",
        "authorized_official_last_name": "RAINEY",
        "authorized_official_first_name": "CHRISTYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-678-2403",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.