Vyve Wellness Lake Norman

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

VYVE WELLNESS LAKE NORMAN

Practice address

136 Corporate Park Dr Ste G
Mooresville, NC 28117-6960

Phone

(704) 412-3616

NPI assigned

Jul 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. William Christian Haas III, MDNPI 1821357856

Title

President

Phone

(828) 712-0102

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Christian Haas, MD

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1821357856
  NPD Authorized official

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1396424438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 N WENDOVER RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111064",
            "telephone_number": "828-712-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 CORPORATE PARK DR STE G",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176960",
            "telephone_number": "704-412-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VYVE WELLNESS LAKE NORMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-16",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-712-0102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aniella Vivenzio
• Andrea Grace Volk, PA-C
• Erica Lee Vollano, FNP-BC
• Frederick U Vorwald, MD
• Amanda E Vought, MED CCC SLP
• W Jason Metzger
• Amber W Waddell, FNP-C
• Brandon Wade
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP

• Integrative Medicine Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Integrative Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.