NPIMap

Organization Active NPI

Holy Angels Inc

  • Family Health Clinical Nurse Specialist
  • Belmont, NC
National Provider Identifier
1770031130
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
202981 Issued in NC
Legal business name
HOLY ANGELS INC
Practice address
6600 W Wilkinson Blvd
Belmont, NC 28012-2796
Phone
(704) 825-4161
Fax
(704) 825-0401
NPI assigned
Sep 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Shannon Childress, MBA
Title
Chief Clinical Officer
Phone
(704) 829-4410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SF0001X 202981 NC Primary

Addresses

Primary practice location

6600 W Wilkinson Blvd
Belmont, NC 28012-2796

Mailing address

6600 W Wilkinson Blvd
PO Box 710
Belmont, NC 28012-2796
Phone (704) 825-4161

Other names 1

  • Holy Angels Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Holy Angels Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1770031130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 W WILKINSON BLVD",
            "address_2": "PO BOX 710",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280122796",
            "telephone_number": "704-825-4161",
            "fax_number": "704-825-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 W WILKINSON BLVD",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280122796",
            "telephone_number": "704-825-4161",
            "fax_number": "704-825-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY ANGELS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "704-829-4410",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "NC",
            "license": "202981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Angels Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Belmont, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.