Individual provider Active NPI

Le'Andra Ta'Zhawnay Gabbard, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1366200404
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5020790 Issued in NC
Practice address
10918 Chrudan Dr
Charlotte, NC 28262-6410
Phone
(937) 242-3424
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 5020790 NC Primary

Addresses

Primary practice location

10918 Chrudan Dr
Charlotte, NC 28262-6410

Mailing address

10918 Chrudan Dr
Charlotte, NC 28262-6410
Phone (937) 242-3424

Other practice location 1

404 S Sutherland Ave
Monroe, NC 28112-5060
Phone (704) 996-6613

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
I20250907000118 NC Practitioner - Nurse Practitioner 0547762759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Step Up Care of North Carolina PCGroup PAC ID 4486036878, 19 clinicians

Practice addresses (Care Compare)

3250 Homestead Club Dr
Winston Salem, NC 27103-6787
Phone (718) 506-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care of North Carolina PC CurrentSince Jul 1, 2025 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 1

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": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1366200404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10918 CHRUDAN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626410",
            "telephone_number": "937-242-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10918 CHRUDAN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626410",
            "telephone_number": "937-242-3424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 S Sutherland Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281125060",
            "country_code": "US",
            "telephone_number": "704-996-6613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABBARD",
        "first_name": "LE'ANDRA",
        "middle_name": "TA'ZHAWNAY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5020790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.