Organization Active NPI

Carolina Center for Women

  • Medical Specialty Clinic/Center
  • Charlotte, NC
National Provider Identifier
1457780553
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
AB0004 Issued in NC
Legal business name
CAROLINA CENTER FOR WOMEN
Practice address
421 N Wendover Rd
Charlotte, NC 28211-1064
Phone
(704) 367-2255
Fax
(704) 367-1499
NPI assigned
Nov 8, 2013
Last updated
Nov 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Ms. Sandy Lynn St Clair, OWNER/DIRECTOR
Title
Owner/Director
Phone
(704) 367-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X AB0004 NC Primary

Addresses

Primary practice location

421 N Wendover Rd
Charlotte, NC 28211-1064

Mailing address

421 N Wendover Rd
Charlotte, NC 28211-1064
Phone (704) 367-2255

Other names 1

  • Carolina Women's Clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

421 N Wendover Rd
Charlotte, NC 28211
Phone (704) 367-2255

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1457780553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N WENDOVER RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111064",
            "telephone_number": "704-367-2255",
            "fax_number": "704-367-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N WENDOVER RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111064",
            "telephone_number": "704-367-2255",
            "fax_number": "704-367-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CENTER FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "ST CLAIR",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "704-367-2255",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OWNER/DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "AB0004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Women's Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.