Organization Active NPI

Trichology Wellness Lab, LLC

  • Prosthetics Case Management
  • Charlotte, NC
National Provider Identifier
1740988807
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
TRICHOLOGY WELLNESS LAB, LLC
Practice address
6316 Farmstead Dr
Charlotte, NC 28227-3208
Phone
(980) 339-0994
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Shanae StarnesNPI 1326648817
Title
Prosthetics Case Mgmnt Specialist
Phone
(980) 339-0994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

6316 Farmstead Dr
Charlotte, NC 28227-3208

Mailing address

6316 Farmstead Dr
Charlotte, NC 28227-3208
Phone (980) 399-0994

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1740988807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 FARMSTEAD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282273208",
            "telephone_number": "980-399-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6316 FARMSTEAD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282273208",
            "telephone_number": "980-339-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICHOLOGY WELLNESS LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-18",
        "status": "A",
        "authorized_official_last_name": "STARNES",
        "authorized_official_first_name": "SHANAE",
        "authorized_official_title_or_position": "PROSTHETICS CASE MGMNT SPECIALIST",
        "authorized_official_telephone_number": "980-339-0994"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 20, 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.