Individual provider Active NPI

Cathleen Corbin Brown, CRNP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1942773130
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011354 Issued in NC
Practice address
15033 Ballancroft Pkwy Ste 200
Charlotte, NC 28277-4959
Phone
(704) 316-2920
Fax
(704) 316-2921
NPI assigned
Jan 10, 2019
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5011354 NC Primary
Family Nurse Practitioner 363LF0000X SP023476 PA

Addresses

Primary practice location

15033 Ballancroft Pkwy Ste 200
Charlotte, NC 28277-4959

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1655 Crooked Oak Dr
Lancaster, PA 17601-4207
Phone (717) 569-2678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190312000512 NC Practitioner - Nurse Practitioner 1153660014 Reassigns benefits to 1 organization
I20210413000217 PA Practitioner - Nurse Practitioner 1153660014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

15033 Ballancroft Pkwy
Suite 200
Charlotte, NC 28277-4959
Phone (844) 266-8268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5011354NCMDNurse Practitioner
SP023476PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Apr 19, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 14, 2023 Accepting new patients
Lancaster General Medical Group CurrentSince Apr 19, 2021 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 14, 2023 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

15033 Ballancroft Pkwy
Ste 200
Charlotte, NC 28277
Phone (704) 316-2920

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

1605 Lititz Pike
Lancaster, PA 17601
Phone (717) 290-7201

1655 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-2678

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

Interoperability endpoints

  • Direct secure messaging: cbrown510737@direct.novanthealth.org

Organizations & group practices 7

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": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1942773130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15033 BALLANCROFT PKWY STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774959",
            "telephone_number": "704-316-2920",
            "fax_number": "704-316-2921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1655 Crooked Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014207",
            "country_code": "US",
            "telephone_number": "717-569-2678",
            "fax_number": "717-569-1730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CATHLEEN",
        "middle_name": "CORBIN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011354",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.