Individual provider Active NPI

Estrelita Nancy Clavio-Ziechmann, MD

  • Pulmonary Disease Physician
  • Charlotte, NC
National Provider Identifier
1962470666
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
9400223 Issued in NC
Practice address
10320 Feld Farm LN Ste 300
Charlotte, NC 28210-8484
Phone
(980) 488-9870
Fax
(980) 488-9875
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 9400223 NC Primary

Addresses

Primary practice location

10320 Feld Farm LN Ste 300
Charlotte, NC 28210-8484

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (980) 488-9870

Other practice location 1

10036 Park Cedar Dr
Suite A
Charlotte, NC 28210-8914
Phone (704) 543-0911

Other identifiers 1

IdentifierTypeStateIssuer
8922871MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20641SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eclavioziechmann1306302@direct.novanthealth.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1962470666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "980-488-9870",
            "fax_number": "980-488-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 FELD FARM LN STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108484",
            "telephone_number": "980-488-9870",
            "fax_number": "980-488-9875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10036 Park Cedar Dr",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108914",
            "country_code": "US",
            "telephone_number": "704-543-0911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAVIO-ZIECHMANN",
        "first_name": "ESTRELITA",
        "middle_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "9400223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8922871",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.