Marlene King Chisholm, RN

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

16 Oak Grove St Unit 8
Mount Holly, NC 28120-1655

Phone

(980) 437-4109

Fax

(888) 830-7437

NPI assigned

Jun 30, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• MF Express Lab and Vitality Center

  • Clinical Medical Laboratory
  • Mount Holly, NC
  • NPI 1912863713
  NPD Authorized official
• Moving Forward Express Health and Home Care Services

  • Home Health Agency
  • Mount Holly, NC
  • NPI 1326906538
  NPD (past) Authorized official

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1326937137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 CASSIDY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544306",
            "telephone_number": "704-460-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OAK GROVE ST UNIT 8",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281201655",
            "telephone_number": "980-437-4109",
            "fax_number": "888-830-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "MARLENE",
        "middle_name": "KING",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "380369",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NC",
            "license": "380369",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caromont Medical Group Inc (CaroMont Family Medicine)
• Kelly L. Carpenter, LCSW
• Tomas F Chao, LAT, ATC
• Charleys Drugs & Sundries Inc (Charlie's Drug & Sundries, Inc.)
• Ashley Chidester
• Citizens Choice Home Care LLC
• Delane F Clark, PT
• Dara Cobb Lewis, MDIV
• Molly Collins
• Kelly Lee Coney Pacious, PT, DPT

• Clinical Medical Laboratory in Mount Holly, NC
• Providers in Mount Holly, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.