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PROJECT 658
NPI 1427502558
Registered Nurse in Charlotte, NC

Active since August 05, 2016CLIA 34D2106939 · Waiver
3622 CENTRAL AVE, CHARLOTTE, NC 28205(704) 910-5810(980) 207-0214 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 21, 2022, Jul 18, 2017, Nov 15, 2016 and 1 more (4 updates tracked since 2016).

About Project 658 NPPES

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

PROJECT 658 (NPI 1427502558) is a healthcare organization registered as a registered nurse in Charlotte, North Carolina and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Marjorie Lugibihl, Clinic Coordinator, as its authorized official.

NPPES Registry Identity

NPI1427502558
Entity TypeOrganization
Primary Taxonomy163W00000X
Legal Business NamePROJECT 658
Location Address3622 CENTRAL AVECharlotte, NC 28205-5638
Mailing Address3646 Central AveCharlotte, NC 28205-6064 · (704) 733-9934 · Fax (704) 733-9925
Phone(704) 910-5810
Fax(980) 207-0214
Organization SubpartNo
Authorized OfficialMarjorie LugibihlClinic Coordinator · (704) 733-9934
Enumeration DateAugust 5, 2016
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1427502558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in NC · 238539
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 10040A (NC)
3622 CENTRAL AVE, Charlotte, NC 28205
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 34D2106939

Project 658 · Charlotte, NC
Active · expires Jan 3, 2028
CLIA Number34D2106939
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorMarjorie A. Lugibihl
Laboratory Phone(704) 733-9934
Laboratory LocationProject 6586900 Farmingdate Drive, Charlotte, NC 28212
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ESMERALDA MARTINEZ
Social Worker (Clinical)
3622 CENTRAL AVE
CHARLOTTE, NC 28205
Mecklenburg County (704) 910-5810
CHARLOTTE COMMUNITY HEALTH CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
3622 CENTRAL AVE
CHARLOTTE, NC 28205
Mecklenburg County (704) 316-6561
JAMES DION LPCA
Counselor (Mental Health)
3622 CENTRAL AVE
CHARLOTTE, NC 28205
Mecklenburg County (704) 910-5810
NICOLA KAY MSW, LCSW-A
Social Worker (Clinical)
3622 CENTRAL AVE
CHARLOTTE, NC 28205
Mecklenburg County (704) 910-5810
MELANIE L EDWARDS LCSW
Social Worker (Clinical)
3622 CENTRAL AVE
CHARLOTTE, NC 28205
Mecklenburg County (704) 910-5810
DEBORAH JONES
Counselor (Professional)
3622 CENTRAL AVE
CHARLOTTE, NC 28205
Mecklenburg County (704) 910-5810

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 Project 658's NPI number?

The NPI number for Project 658 is 1427502558. It was assigned to this organization in the NPPES registry on August 5, 2016.

Where is Project 658 located?

Project 658 is located at 3622 Central Ave, Charlotte, NC 28205. The listed phone number is (704) 910-5810.

What is Project 658's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Does Project 658 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2106939) is associated with this NPI, valid through January 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Project 658 was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.