Individual provider Active NPI

Kewarren L Ardrey

  • Health & Wellness Coach
  • Charlotte, NC
National Provider Identifier
1215831136
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
14045 Ballantyne Corporate PL Ste 500
Charlotte, NC 28277-0805
Phone
(704) 325-3632
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X NC Primary

Addresses

Primary practice location

14045 Ballantyne Corporate PL Ste 500
Charlotte, NC 28277-0805

Mailing address

14045 Ballantyne Corporate PL Ste 500
Charlotte, NC 28277-0805
Phone (704) 325-3632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1215831136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14045 BALLANTYNE CORPORATE PL STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770805",
            "telephone_number": "704-325-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14045 BALLANTYNE CORPORATE PL STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770805",
            "telephone_number": "704-325-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDREY",
        "first_name": "KEWARREN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.