Organization Active NPI

Mindful Connections Behavioral Health , PLLC

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1871369587
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MINDFUL CONNECTIONS BEHAVIORAL HEALTH , PLLC
Practice address
1656 Rock Creek LN
Fayetteville, NC 28301-7694
Phone
(910) 785-3461
NPI assigned
Dec 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Ms. Connie Baxter, MSN, PMHNP-BCNPI 1093220642
Title
Ceo
Phone
(910) 785-3461

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1656 Rock Creek LN
Fayetteville, NC 28301-7694

Mailing address

1656 Rock Creek LN
Fayetteville, NC 28301-7694
Phone (910) 785-3461

National Provider Directory

National Provider Directory

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": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1871369587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 ROCK CREEK LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283017694",
            "telephone_number": "910-785-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 ROCK CREEK LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283017694",
            "telephone_number": "910-785-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CONNECTIONS BEHAVIORAL HEALTH , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-785-3461",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.