Organization Active NPI

Advanced Practice Care, Inc

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1962934059
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1548520935 Issued in NC
Legal business name
ADVANCED PRACTICE CARE, INC
Practice address
1914 J N Pease PL
Ste 138
Charlotte, NC 28262-4504
Phone
(704) 919-3564
NPI assigned
Mar 29, 2017
Last updated
Mar 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Stephanie Brathwaite, N.P
Title
Nurse Practitioner
Phone
(704) 919-3564

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1548675648 NC
Family Nurse Practitioner 363LF0000X 1548520935 NC Primary

Addresses

Primary practice location

1914 J N Pease PL
Ste 138
Charlotte, NC 28262-4504

Mailing address

1914 J N Pease PL
Ste 138
Charlotte, NC 28262-4504
Phone (704) 919-3564

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1962934059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 J N PEASE PL",
            "address_2": "STE 138",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624504",
            "telephone_number": "704-919-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 J N PEASE PL",
            "address_2": "STE 138",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624504",
            "telephone_number": "704-919-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PRACTICE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "BRATHWAITE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "704-919-3564",
        "authorized_official_credential": "N.P"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "1548675648",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "1548520935",
            "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 Mar 29, 2017; 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.