Healthcare Provider Details

I. General information

NPI: 1780507715
Provider Name (Legal Business Name): ELEVATE HEALTH AND AESTHETICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 HAYWOOD RD STE 101
SYLVA NC
28779-4558
US

IV. Provider business mailing address

919 HAYWOOD RD STE 101
SYLVA NC
28779-4558
US

V. Phone/Fax

Practice location:
  • Phone: 828-342-0687
  • Fax:
Mailing address:
  • Phone: 828-342-0687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. KATHIE SUPIK
Title or Position: FNP/BC
Credential: FNP
Phone: 828-342-0687