Organization Active NPI

LKN Weight Loss and Wellness LLC

  • Medical Specialty Clinic/Center
  • Cornelius, NC
National Provider Identifier
1760088900
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
LKN WEIGHT LOSS AND WELLNESS LLC
Practice address
20808 N Main St Ste 104
Cornelius, NC 28031-8496
Phone
(704) 964-6250
Fax
(704) 610-2500
NPI assigned
Dec 10, 2020
Last updated
May 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Shannon Schlicher, NPNPI 1073077293
Title
FNP
Phone
(704) 964-6250

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

20808 N Main St Ste 104
Cornelius, NC 28031-8496

Mailing address

20808 N Main St Ste 104
Cornelius, NC 28031-8496
Phone (704) 964-6250

Other identifiers 1

IdentifierTypeStateIssuer
1073077293MedicaidNC

National Provider Directory

National Provider Directory

Locations

20808 N Main St
Ste 104
Cornelius, NC 28031
Phone (704) 964-6250

21000 Torrence Chapel Rd
Ste 103B
Cornelius, NC 28031
Phone (704) 741-1911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1760088900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20808 N MAIN ST STE 104",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318496",
            "telephone_number": "704-964-6250",
            "fax_number": "704-610-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20808 N MAIN ST STE 104",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318496",
            "telephone_number": "704-964-6250",
            "fax_number": "704-610-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LKN WEIGHT LOSS AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "SCHLICHER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "704-964-6250",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073077293",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.