Organization Active NPI

Light2Mypaths PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1972482289
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Anu JohnNPI 1700341948
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.