Fruit of Life

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FRUIT OF LIFE

Practice address

14110 Waterlyn Dr
Charlotte, NC 28278-7662

Phone

(980) 333-3883

NPI assigned

Oct 15, 2014

Last updated

Oct 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Naomi Michelle Miller

Title

Owner

Phone

(980) 333-8883

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1326442641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 N HICKORY ST",
            "city": "PAGELAND",
            "state": "SC",
            "postal_code": "297281710",
            "telephone_number": "980-333-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14110 WATERLYN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787662",
            "telephone_number": "980-333-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUIT OF LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-333-8883"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Kwen Fromke, M.D.
• Kathryn Fronczak, PT, DPT
• Deauna Andrea Froneberger, LCMHC, LCPC, LCAS
• Front-Page Services,LLC
• Jade Frowner
• Fruit of the Spirit Nutrition and Wellness, LLC
• Louise Hall Frumkin, MSW, LCSW
• Michael Fruscione, MD
• Lupita Ann Fry, RN
• Melissa Ann Fry, RN

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.