NPIMap

Organization Active NPI

Blakeney Family Practice, PLLC

  • Primary Care Clinic/Center
  • Charlotte, NC
National Provider Identifier
1629942388
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BLAKENEY FAMILY PRACTICE, PLLC
Practice address
4401 E Independence Blvd Ste 208F
Charlotte, NC 28205-7485
Phone
(980) 402-4668
NPI assigned
Oct 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Nikita Blakeney-Williams, FNP-CNPI 1770382533
Title
Cno
Phone
(980) 402-4668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4401 E Independence Blvd Ste 208F
Charlotte, NC 28205-7485

Mailing address

PO Box 37054
Rock Hill, SC 29732-0517
Phone (980) 402-4668

Other names 1

  • Family First Wellness Practice Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address support@familyfirstwellness.us Direct

National Provider Directory

National Provider Directory

Locations

4401 E Independence Blvd
Ste 208F
Charlotte, NC 28205
Phone (980) 402-4668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1629942388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37054",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297320517",
            "telephone_number": "980-402-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 E INDEPENDENCE BLVD STE 208F",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057485",
            "telephone_number": "980-402-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKENEY FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "BLAKENEY-WILLIAMS",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_title_or_position": "CNO",
        "authorized_official_telephone_number": "980-402-4668",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@familyfirstwellness.us",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4401 E Independence Blvd Ste 208F",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282057485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Family First Wellness Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 3, 2025; 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.