Queen City Cocoa Beans Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

QUEEN CITY COCOA BEANS INC

Practice address

2128 Remount Rd
Charlotte, NC 28208-5051

Phone

(980) 224-3748

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel M Dean, MPH, RDN, LDN, IBCLCNPI 1306253232

Title

Executive Director/ Owner

Phone

(980) 224-3748

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel M Dean, MPH, RDN, LDN, IBCLC

  • Registered Dietitian
  • Charlotte, NC
  • NPI 1306253232
  NPD Authorized official

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1124740386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10887 GARDEN OAKS LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734845",
            "telephone_number": "980-224-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 REMOUNT RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085051",
            "telephone_number": "980-224-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY COCOA BEANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "980-224-3748",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPH, RDN, LDN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CUREMD",
            "affiliation": "N",
            "address_1": "2128 Remount Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282085051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittni Nicole Quattlebaum, PT, DPT
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• Queen City Al Holdings, LLC
• Queen City Behavioral Health and Wellness
• Queen City Care Home
• Queen City Compassionate Home Care Agency LLC
• Queen City Counseling & Consulting, PLLC
• Queen City Diagnostics LLC
• Queen City Ear Nose and Throat PLLC
• Queen City Eye Center, O.D., PLLC

• Community Health Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.