Organization Active NPI

Kannapolis Internal Medicine

  • Clinic/Center
  • Kannapolis, NC
National Provider Identifier
1588115976
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
21209 Issued in NC
Legal business name
KANNAPOLIS INTERNAL MEDICINE
Practice address
201 Dale Earnhardt Blvd
Suite 200
Kannapolis, NC 28081-0303
Phone
(704) 403-7300
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Dr. Lindsay Logan Sheehan, PHARMD, CDE, CPP
Title
Clinical Pharmacist Leader
Phone
(704) 403-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 21209 NC Primary

Addresses

Primary practice location

201 Dale Earnhardt Blvd
Suite 200
Kannapolis, NC 28081-0303

Mailing address

201 Dale Earnhardt Blvd
Suite 200
Kannapolis, NC 28081-0303
Phone (704) 403-7300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1588115976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DALE EARNHARDT BLVD",
            "address_2": "SUITE 200",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280810303",
            "telephone_number": "704-403-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DALE EARNHARDT BLVD",
            "address_2": "SUITE 200",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280810303",
            "telephone_number": "704-403-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANNAPOLIS INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "LOGAN",
        "authorized_official_title_or_position": "CLINICAL PHARMACIST LEADER",
        "authorized_official_telephone_number": "704-403-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, CDE, CPP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "21209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.