Individual provider Active NPI

Natasha Andrea Bedoya-Ross, RN

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1619822350
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11050283 Issued in FL
Practice address
1108 N Alexander St
Charlotte, NC 28206-3334
Phone
(413) 427-6695
NPI assigned
Feb 27, 2026
Last updated
Aug 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11050283 FL Primary
Registered Nurse 163W00000X 9479870 FL

Addresses

Primary practice location

1108 N Alexander St
Charlotte, NC 28206-3334

Mailing address

823 E 36TH St
Charlotte, NC 28205-1109
Phone (413) 427-6695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
9479870FLMDRegistered Nurse
11050283FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1619822350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 E 36TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051109",
            "telephone_number": "413-427-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 N ALEXANDER ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282063334",
            "telephone_number": "413-427-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDOYA-ROSS",
        "first_name": "NATASHA",
        "middle_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11050283",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9479870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.