Werk Fitness Studio

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

WERK FITNESS STUDIO

Practice address

2801 Crisman St Ste 212
Charlotte, NC 28208-3847

Phone

(704) 451-4289

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

Kieondra JacksonNPI 1467330373

Title

Owner

Phone

(704) 451-4289

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Kieondra Jackson

  • Health & Wellness Coach
  • Charlotte, NC
  • NPI 1467330373
  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": "1194603019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 ROGERS ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083045",
            "telephone_number": "704-451-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CRISMAN ST STE 212",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083847",
            "telephone_number": "704-451-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WERK FITNESS STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KIEONDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-451-4289"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy D Beam LLC
• Leigh Davy Wenning, MD
• Martha Joan Went, LPC
• Neva R Wentworth Doctor, DC
• Mya I Wenze
• Abigail Rebecca Werner, MD
• Stuart Yale Wernikoff, M.D.
• William Carey Werthmuller, M.D.
• Wesley Behavioral Health Services LLC
• Wesley Behavioral Health Services LLC

• Health & Wellness Coach in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Health & Wellness Coach in North Carolina

• 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.