Individual provider Active NPI

Reshana Lynne Dupree, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Wilkesboro, NC
National Provider Identifier
1003664335
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5020004 Issued in NC
Practice address
1400 Willow LN
North Wilkesboro, NC 28659-3551
Phone
(336) 667-5151
NPI assigned
May 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5020004 NC Primary

Addresses

Primary practice location

1400 Willow LN
North Wilkesboro, NC 28659-3551

Mailing address

1109 Blakenham Rd
Raleigh, NC 27610-8586
Phone (919) 244-4278

Other practice location 1

833 Wake Forest Business Park Ste F
Wake Forest, NC 27587-7184
Phone (919) 368-8839

Other practice location 2

284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250509001606 NC Practitioner - Nurse Practitioner 2769909068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daymark Recovery Services IncGroup PAC ID 0547233975, 132 clinicians

Practice addresses (Care Compare)

1400 Willow LN
North Wilkesboro, NC 28659-3551
Phone (336) 667-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5020004NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greene Mental Wellness, PLLC CurrentSince May 1, 2024 Accepting new patients
Daymark Recovery Services, Inc. CurrentSince Apr 21, 2025 Accepting new patients
Clemons Resiliency & Wellness PLLC Psychiatric/Mental Health CurrentSince May 1, 2024 Accepting new patients

Locations

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

1400 Willow Ln
North Wilkesboro, NC 28659
Phone (336) 667-5151

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

833 Wake Forest Business Park
Ste F
Wake Forest, NC 27587
Phone (919) 230-1419

Interoperability endpoints

  • Direct secure messaging: reshana.dupree.p1@direct.daymarkrecovery.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1003664335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 BLAKENHAM RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276108586",
            "telephone_number": "919-244-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WILLOW LN",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593551",
            "telephone_number": "336-667-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Wake Forest Business Park Ste F",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275877184",
            "country_code": "US",
            "telephone_number": "919-368-8839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "284 Executive Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280251833",
            "country_code": "US",
            "telephone_number": "704-939-1100",
            "fax_number": "704-939-1173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "RESHANA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5020004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

Verify at the official NPI Registry.