NC PREVENTATIVE MEDICINE AND WELLNESS CLINIC, PLLC (NPI# 1376976878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376976878 |
Entity Type | Organization |
Organization Name | NC PREVENTATIVE MEDICINE AND WELLNESS CLINIC, PLLC |
Practice Address |
7940 Williams Pond Ln Suite 150 Charlotte NC 28277-8766 |
Practice Telephone | 7047527779 |
Practice Fax Number | 7047527775 |
Mailing Telephone | 7047527779 |
Mailing Fax Number | 7047527775 |
Enumeration Date | 2013-08-20 |
Last Update Date | 2013-08-20 |
Authorized Official Name | DR. KATHRYN ANN SHAW (MEDICAL DIRECTOR/OWNER) |
Authorized Official Telephone | 7047527779 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
7940 WILLIAMS POND LN SUITE 150 |
City | CHARLOTTE |
State | NC |
Zip Code | 28277-8766 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568630887 | Alicia Konneker Nielsen | Physician Assistant | 7940 Williams Pond Ln, Suite 150, Charlotte, NC 28277-8766 | 2008-02-20 |
1215589148 | Riccobene & Associates Xxxiii, Dds, Pa | Dentist | 7940 Williams Pond Ln, Charlotte, NC 28277-8766 | 2019-07-11 |
1831547173 | Blaire Lash | Dietitian, Registered | 7940 Williams Pond Ln, Suite 150, Charlotte, NC 28277-8766 | 2016-05-26 |
1811380058 | Amanda Herlocker | Dietitian, Registered | 7940 Williams Pond Ln, Suite 150, Charlotte, NC 28277-8766 | 2015-03-12 |
1194129395 | Triangle Wellness Pllc | General Practice | 7940 Williams Pond Ln, Suite 175, Charlotte, NC 28277-8766 | 2014-10-16 |
1194141978 | Charlotte Medical Center Pllc | Clinic/Center | 7940 Williams Pond Ln, Suite 250, Charlotte, NC 28277-8766 | 2014-03-17 |
1396176384 | Charlotte Medical Center | Family Medicine | 7940 Williams Pond Ln, Suite 250, Charlotte, NC 28277-8766 | 2013-12-02 |
1043648462 | Kate Johnson | Nurse Practitioner | 7940 Williams Pond Ln, Suite 150, Charlotte, NC 28277-8766 | 2013-10-22 |
1952642142 | Triangle Wellness Pllc | Obstetrics & Gynecology | 7940 Williams Pond Ln, 150, Charlotte, NC 28277-8766 | 2013-03-13 |
1336486844 | Lauren Steele Kauer | Physician Assistant | 7940 Williams Pond Ln, Suite 150, Charlotte, NC 28277-8766 | 2013-01-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
Find all providers in zip 28277 |
Taxonomy Code | 207QB0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Obesity Medicine |
A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649778101 | Natasha Rudd | Family Medicine | 400 Clarice Ave Ste 100, Charlotte, NC 28204-2768 | 2018-01-30 |
1609294925 | Nc Preventative Medicine and Wellness Clinic | Family Medicine | 309 S Sharon Amity Rd, Suite 102, Charlotte, NC 28211-2978 | 2014-04-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730608456 | Doctors Weight Loss Center of Cary | Family Medicine | 216 Ashville Ave Ste 30, Cary, NC 27518-6679 | 2017-09-13 |
1568818110 | Arruya I, Pllc | Family Medicine | 1550 Hendersonville Rd Ste 200, Asheville, NC 28803-3245 | 2016-05-12 |
1053739375 | Nc Preventative Medicine and Wellness Clinic | Family Medicine | 1911 Falls Valley Dr, Suite 105, Raleigh, NC 27615-2495 | 2014-04-03 |
1699029074 | Rtp Healthy Wellness Pllc | Family Medicine | 1021 Darrington Dr Ste 201, Cary, NC 27513-8157 | 2012-11-06 |
1336452390 | Peak Nutrition and Weight Loss Clinic, P.a. | Family Medicine | 216 Village Walk Dr, Holly Springs, NC 27540-7681 | 2010-07-20 |
1487805222 | Roger Davis Shetterly | Family Medicine | 103 Wythe Ct, Flat Rock, NC 28731 | 2008-10-09 |
1821325010 | Stanly Medical Services | Family Medicine | 320 Yadkin St, Suite B, Albemarle, NC 28001-3447 | 2009-11-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.