Active NPI
Light2Mypaths PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1972482289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- LIGHT2MYPATHS PLLC
- Practice address
- 4833 Berewick Town Center Dr Ste 108
Charlotte, NC 28278-6721 - Phone
- (803) 886-9308
- NPI assigned
- Aug 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anu John
- Title
- Nurse Practitioner
- Phone
- (803) 886-9308
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4833 Berewick Town Center Dr Ste 108
Charlotte, NC 28278-6721
Mailing address
4833 Berewick Town Center Dr Ste 108
Charlotte, NC 28278-6721
Phone (803) 886-9308
National Provider Directory
National Provider DirectoryLocations
4833 Berewick Town Center Dr
Ste 108
Charlotte, NC 28278
Phone (803) 886-9308
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Columbia, SC
- NPI 1700341948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756425600000",
"number": "1972482289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4833 BEREWICK TOWN CENTER DR STE 108",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282786721",
"telephone_number": "803-886-9308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4833 BEREWICK TOWN CENTER DR STE 108",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282786721",
"telephone_number": "803-886-9308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHT2MYPATHS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-29",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A",
"authorized_official_last_name": "JOHN",
"authorized_official_first_name": "ANU",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "803-886-9308"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"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 Aug 29, 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.