Organization Active NPI

Restoring Health Nutrition

  • Clinic/Center
  • Charlotte, NC
National Provider Identifier
1245688118
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
00997559 Issued in NJ
Legal business name
RESTORING HEALTH NUTRITION
Practice address
11220 Elm LN Ste 200
Charlotte, NC 28277-0450
Phone
(302) 632-5260
NPI assigned
Jun 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Miss Abiade Ogunsola, R.D, CDCES
Title
Registered Dietitian
Phone
(302) 632-5260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 00997559 NJ Primary

Addresses

Primary practice location

11220 Elm LN Ste 200
Charlotte, NC 28277-0450

Mailing address

11220 Elm LN Ste 200
Charlotte, NC 28277-0450
Phone (302) 632-5260

National Provider Directory

National Provider Directory

Locations

4240 N Broad St
Rear
Philadelphia, PA 19140

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1245688118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 ELM LN STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770450",
            "telephone_number": "302-632-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 ELM LN STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770450",
            "telephone_number": "302-632-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING HEALTH NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "OGUNSOLA",
        "authorized_official_first_name": "ABIADE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "302-632-5260",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "R.D, CDCES"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "00997559",
            "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 Sep 5, 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.