Active NPI
Brittany Madison Waters
- Health Educator
- Charlotte, NC
National Provider Identifier
1649811779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 25829
- Practice address
- 5707 Cougar LN
Charlotte, NC 28269-1514 - Phone
- (704) 689-8037
- NPI assigned
- Sep 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 25829 | NC | Primary |
Addresses
Primary practice location
5707 Cougar LN
Charlotte, NC 28269-1514
Mailing address
5707 Cougar LN
Charlotte, NC 28269-1514
Phone (704) 689-8037
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | simplepractice.com | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25829 | NC | MD | Health Educator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brittany Madison, LLC | Current | Accepting new patients | |
| Brittany Madison, LLC | Health Educator | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Case Management Agency
- Charlotte, NC
- NPI 1124644471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1649811779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5707 COUGAR LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282691514",
"telephone_number": "704-689-8037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5707 COUGAR LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282691514",
"telephone_number": "704-689-8037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "BRITTANY",
"middle_name": "MADISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NC",
"license": "25829",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "simplepractice.com",
"affiliation": "N",
"endpointDescription": "Secure messaging, paperless intake forms and progress notes, electronic claim filing, superbills, portal for clients to book appointments",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5707 Cougar Ln",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282691514",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.