Taylor Mackenzie Stoudenmier, LGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

30 Issued in NC

Practice address

125 Queens Rd Ste 520
Charlotte, NC 28204-3512

Phone

(980) 302-6270

Fax

(980) 302-6275

NPI assigned

Jun 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Miss Taylor Mackenzie Kupneski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1417524547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "980-302-6270",
            "fax_number": "980-302-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 QUEENS RD STE 520",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043512",
            "telephone_number": "980-302-6270",
            "fax_number": "980-302-6275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Queens Rd Ste 560",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043580",
            "country_code": "US",
            "telephone_number": "980-302-6270",
            "fax_number": "980-302-6275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUDENMIER",
        "first_name": "TAYLOR",
        "middle_name": "MACKENZIE",
        "name_prefix": "Mrs.",
        "credential": "LGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "SC",
            "license": "20203",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NC",
            "license": "20203",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NC",
            "license": "30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF GENETIC COUNSELING CERTIFICATE",
            "identifier": "20203",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENETIC COUNSELOR STATE LICENSURE",
            "identifier": "GC46",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENETIC COUNSELOR STATE LICENSURE",
            "identifier": "20",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "KUPNESKI",
            "middle_name": "MACKENZIE",
            "prefix": "MISS",
            "credential": "MS, CGC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danita Story
• Ellen Shannon Story, MD
• John Scott Story, MD
• Karissa Story
• Stephanie Diettrich Stott, RD, LDN
• Hannah Catherine Stout, AGACNP-BC
• Julie Lynn Stout
• Michael Lee Stout, DDS
• Rachel Stout, M.A./ED.S, LPCA, NCC
• Ryan Stout, PA

• Genetic Counselor (M.S.) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Genetic Counselor (M.S.) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.