METABOLIC RESET CLINIC NPI 1902671589

NPI Information

  • NPI: 1902671589
  • Provider Name: METABOLIC RESET CLINIC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 34D2300951
  • Address: 1122 SAM NEWELL RD STE 114
    MATTHEWS, NC
    ZIP 28105
  • Phone: (980) 430-3130

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NPI Details

METABOLIC RESET CLINIC is a primary care nurse practitioner in Matthews, NC. METABOLIC RESET CLINIC NPI is 1902671589. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1122 SAM NEWELL RD STE 114
MATTHEWS, NC
ZIP 28105-016
Phone: (980) 430-3130
Fax: (980) 245-3433

The provider's authorized official is Gretchen Elaine Lawson .
The authorized official title is Nurse Practitioner/ Owner and has the following contact phone number (980) 430-3130.

The CLIA number assigned to this NPI record is 34D2300951 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/24/2023 and was last updated on 3/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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