Individual provider Active NPI

Brea Anjanee' Washington, NP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1942786629
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5010699 Issued in NC
Practice address
301 McCullough Drive
Suite 400- #9522
Charlotte, NC 28262
Phone
(980) 277-4475
Fax
(980) 243-7555
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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 5010699 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5010699 NC Primary

Addresses

Primary practice location

301 McCullough Drive
Suite 400- #9522
Charlotte, NC 28262

Mailing address

301 McCullough Drive
Suite 400- #9522
Charlotte, NC 28262
Phone (980) 277-4475

Other practice location 1

4922 Albemarle Rd
Charlotte, NC 28205-6618
Phone (704) 510-4286

Other practice location 2

1635 NC 66 South
Suite 145
Kernersville, NC 27284
Phone (336) 992-5900

Other practice location 3

7780 Brier Creek Pkwy Ste 306
Raleigh, NC 27617-8831
Phone (919) 582-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1942786629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MCCULLOUGH DRIVE",
            "address_2": "SUITE 400- #9522",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "980-277-4475",
            "fax_number": "980-243-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MCCULLOUGH DRIVE",
            "address_2": "SUITE 400- #9522",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "980-277-4475",
            "fax_number": "980-243-7555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4922 Albemarle Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282056618",
            "country_code": "US",
            "telephone_number": "704-510-4286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1635 NC 66 South",
            "address_2": "Suite 145",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "27284",
            "country_code": "US",
            "telephone_number": "336-992-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7780 Brier Creek Pkwy Ste 306",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276178831",
            "country_code": "US",
            "telephone_number": "919-582-7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "BREA",
        "middle_name": "ANJANEE'",
        "name_prefix": "Mrs.",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010699",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5010699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.