Active NPI
Lugenia Grider, CCE, CD, CPYI, HE II
- Doula
- Charlotte, NC
National Provider Identifier
1063720712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 9328 Amy Dr
Charlotte, NC 28213-3765 - Phone
- (704) 904-4433
- Fax
- (704) 384-8013
- NPI assigned
- Sep 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
9328 Amy Dr
Charlotte, NC 28213-3765
Mailing address
9328 Amy Dr
Charlotte, NC 28213-3765
Phone (704) 904-4433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90-0143206 | Other | NC | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285545600000",
"number": "1063720712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9328 AMY DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282133765",
"telephone_number": "704-904-4433",
"fax_number": "704-384-8013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9328 AMY DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282133765",
"telephone_number": "704-904-4433",
"fax_number": "704-384-8013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIDER",
"first_name": "LUGENIA",
"credential": "CCE, CD, CPYI, HE II",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-15",
"last_updated": "2010-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "90-0143206",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.