Individual provider Active NPI

Brittany Nicole Fleming

  • Family Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1780302075
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016776 Issued in NC
Practice address
2930 E Franklin Blvd
Gastonia, NC 28056-7225
Phone
(404) 800-5181
NPI assigned
Aug 22, 2022
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 FLEM2AQ5Q NC
Family Nurse Practitioner 363LF0000X 5016776 NC Primary

Addresses

Primary practice location

2930 E Franklin Blvd
Gastonia, NC 28056-7225

Mailing address

8622 Redding Glen Ave
Charlotte, NC 28216-2248
Phone (910) 261-3152

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
I20221116000397 NC Practitioner - Nurse Practitioner 2466820873 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FLEM2AQ5QNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind and Body Wellness Center Inc. CurrentSince Oct 1, 2022 Accepting new patients
Theoria Medical CurrentSince Jun 18, 2024 Accepting new patients
Clarity Home Health Care Current Accepting new patients
Theoria Medical Past Accepting new patients

Locations

3180 North Point Pkwy
Ste 302
Alpharetta, GA 30005
Phone (678) 224-8686

2900 E Franklin Blvd
Gastonia, NC 28056

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

1010 Lakeview Dr
Pineville, NC 28134
Phone (704) 889-2273

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1780302075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8622 REDDING GLEN AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162248",
            "telephone_number": "910-261-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 E FRANKLIN BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280567225",
            "telephone_number": "404-800-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "FLEM2AQ5Q",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.