SHAPED HEALTH AND WELLNESS
NPI 1023827342
Clinic/Center in Gastonia, NC

Active since January 01, 2025CLIA 34D2324525 · Waiver
2020 REMOUNT RD STE E-105, GASTONIA, NC 28054(704) 931-8286 Get Directions Write a Review

NPPES record last updated: January 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shaped Health And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAPED HEALTH AND WELLNESS (NPI 1023827342) is a healthcare organization registered as a clinic/center in Gastonia, North Carolina and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through May 26, 2027 and lists Christyle Rainey, Owner, as its authorized official.

NPPES Registry Identity

NPI1023827342
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSHAPED HEALTH AND WELLNESS
Location Address2020 REMOUNT RD STE E-105Gastonia, NC 28054-7476
Mailing Address2020 Remount Rd Ste E105Gastonia, NC 28054-7476
Organization SubpartNo
Authorized OfficialChristyle RaineyOwner · (704) 678-2403
Enumeration DateJanuary 1, 2025
NPPES CertifiedJanuary 1, 2025
NPI 1023827342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2020 REMOUNT RD STE E-105, Gastonia, NC 28054

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2324525

Shaped Health And Wellness · Gastonia, NC
Active · expires May 26, 2027
CLIA Number34D2324525
Laboratory TypePractitioner Other
Certificate Effective DateMay 27, 2025
Certificate Expiration DateMay 26, 2027
Laboratory DirectorChristyle Y. Rainey
Laboratory Phone(704) 678-2403
Laboratory LocationShaped Health And Wellness220 Remount Rd Ste E-105, Gastonia, NC 28054
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaped Health And Wellness's NPI number?

The NPI number for Shaped Health And Wellness is 1023827342. It was assigned to this organization in the NPPES registry on January 1, 2025.

Where is Shaped Health And Wellness located?

Shaped Health And Wellness is located at 2020 Remount Rd Ste E-105, Gastonia, NC 28054. The listed phone number is (704) 931-8286.

What is Shaped Health And Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Shaped Health And Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2324525) is associated with this NPI, valid through May 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shaped Health And Wellness was last updated on January 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.