Organization Active NPI

Weight Loss & Wellness Clinic

  • Multi-Specialty Clinic/Center
  • Huntersville, NC
National Provider Identifier
1689876021
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
261AM1300X Issued in NC
Legal business name
WEIGHT LOSS & WELLNESS CLINIC
Practice address
16507 Northcross Dr Ste F
Huntersville, NC 28078-5082
Phone
(704) 728-7283
NPI assigned
Jun 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah E Baird
Title
Business Administrator
Phone
(704) 728-7283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 261AM1300X NC Primary

Addresses

Primary practice location

16507 Northcross Dr Ste F
Huntersville, NC 28078-5082

Mailing address

16507 Northcross Dr Ste F
Huntersville, NC 28078-5082
Phone (704) 728-7283

National Provider Directory

National Provider Directory
Tax ID family
Weight Loss Wellness Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689876021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16507 NORTHCROSS DR STE F",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785082",
            "telephone_number": "704-728-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16507 NORTHCROSS DR STE F",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785082",
            "telephone_number": "704-728-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIGHT LOSS & WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "704-728-7283"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NC",
            "license": "261AM1300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.