Individual provider Active NPI

Brenda Chillcott Helms, FNP-BC

  • Family Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1912673161
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014903 Issued in NC
Practice address
2664 Court Dr Ste a
Gastonia, NC 28054-1449
Phone
(704) 861-9030
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5014903 NC Primary

Addresses

Primary practice location

2664 Court Dr Ste a
Gastonia, NC 28054-1449

Mailing address

2664 Court Dr Ste a
Gastonia, NC 28054-1449
Phone (704) 861-9030

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
I20220128001222 NC Practitioner - Nurse Practitioner 4587056361 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Medical Associates, PA CurrentSince Jan 21, 2022 Accepting new patients
Laser Skin Care PLLC PastSince Aug 1, 2021 Accepting new patients

Locations

2664 Court Dr
Gastonia, NC 28054
Phone (704) 861-9030

2664 Court Dr
Ste A
Gastonia, NC 28054
Phone (704) 861-9030

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAIEDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1912673161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 COURT DR STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541449",
            "telephone_number": "704-861-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 COURT DR STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541449",
            "telephone_number": "704-861-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMS",
        "first_name": "BRENDA",
        "middle_name": "CHILLCOTT",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.