Organization Active NPI

Barnabas Podiatry & Health Wellness Center LLC

  • Podiatrist
  • Waxhaw, NC
National Provider Identifier
1396138228
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
642 Issued in SC
Legal business name
BARNABAS PODIATRY & HEALTH WELLNESS CENTER LLC
Practice address
2709 Southern Trace Dr
Waxhaw, NC 28173-0010
Phone
(704) 905-7905
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Barbara Worley, DPM
Title
Owner
Phone
(704) 905-7905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 642 SC Primary

Addresses

Primary practice location

2709 Southern Trace Dr
Waxhaw, NC 28173-0010

Mailing address

2709 Southern Trace Dr
Waxhaw, NC 28173-0010
Phone (704) 905-7905

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1396138228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 SOUTHERN TRACE DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730010",
            "telephone_number": "704-905-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 SOUTHERN TRACE DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730010",
            "telephone_number": "704-905-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNABAS PODIATRY & HEALTH WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "WORLEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-905-7905",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.