Metabolic Reset Clinic

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

METABOLIC RESET CLINIC

Practice address

1122 Sam Newell Rd Ste 114
Matthews, NC 28105-5016

Phone

(980) 430-3130

Fax

(980) 245-3433

NPI assigned

Nov 24, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Gretchen Elaine Lawson, AGNP-CNPI 1053937896

Title

Nurse Practitioner/ Owner

Phone

(980) 430-3130

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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

• Gretchen Elaine Lawson, MSN, APRN, AGNP-C

  • Primary Care Nurse Practitioner
  • Matthews, NC
  • NPI 1053937896
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1902671589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 AMITY CT STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155745",
            "telephone_number": "844-699-6733",
            "fax_number": "704-946-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 SAM NEWELL RD STE 114",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055016",
            "telephone_number": "980-430-3130",
            "fax_number": "980-245-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METABOLIC RESET CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/ OWNER",
        "authorized_official_telephone_number": "980-430-3130",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AGNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Matthews, NC
• Providers in Matthews, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.