Organization Active NPI

Brittany Madison, LLC

  • Community Health Worker
  • Charlotte, NC
National Provider Identifier
1710580642
Registry record updated Nov 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
BRITTANY MADISON, LLC
Practice address
615 E 6TH St
Charlotte, NC 28202-2918
Phone
(704) 584-9717
NPI assigned
Nov 22, 2020
Last updated
Nov 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2020

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

Authorized official

Name
Brittany M WatersNPI 1649811779
Title
Owner
Phone
(704) 689-8037

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NU Primary
Case Manager/Care Coordinator 171M00000X NU
Health Educator 174H00000X NU

Addresses

Primary practice location

615 E 6TH St
Charlotte, NC 28202-2918

Mailing address

5707 Cougar LN
Charlotte, NC 28269-1514
Phone (704) 689-8037

National Provider Directory

National Provider Directory
Tax ID family
Brittany Madison LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606003200000",
    "number": "1710580642",
    "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": "615 E 6TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022918",
            "telephone_number": "704-584-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITTANY MADISON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-22",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-689-8037"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "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 Nov 22, 2020; 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.