Individual provider Active NPI

Rasheka Walters, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1912876889
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
258993 Issued in SC
Practice address
4801 E Independence Blvd Ste 501
Charlotte, NC 28212-5494
Phone
(704) 388-6736
Fax
(949) 695-3608
NPI assigned
Oct 30, 2025
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5023799 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 258993 SC Primary

Addresses

Primary practice location

4801 E Independence Blvd Ste 501
Charlotte, NC 28212-5494

Mailing address

1221 Russell St
Rock Hill, SC 29730-5647

Other practice location 1

1221 Russell St
Rock Hill, SC 29730-5647
Phone (803) 207-4040

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
I20260324002326 NC Practitioner - Nurse Practitioner 4082198452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4801 E Independence Blvd
Suite 501
Charlotte, NC 28212-5494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5023799NCMDPsychiatric/Mental Health Nurse Practitioner
258993SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Aura Behavioral Health Services PLLC Psychiatric/Mental Health CurrentSince Feb 17, 2026 Accepting new patients

Locations

4801 E Independence Blvd
Ste 501
Charlotte, NC 28212
Phone (704) 388-6736

Organizations & group practices 1

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": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1912876889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 RUSSELL ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E INDEPENDENCE BLVD STE 501",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125494",
            "telephone_number": "704-388-6736",
            "fax_number": "949-695-3608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Russell St",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297305647",
            "country_code": "US",
            "telephone_number": "803-207-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "RASHEKA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-30",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5023799",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "258993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.