Individual provider Active NPI

Brittany Henry, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1992507412
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5021871 Issued in NC
Practice address
1200 Fairmont CT
Fayetteville, NC 28304-4403
Phone
(910) 429-1114
NPI assigned
Mar 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5021871 NC Primary

Addresses

Primary practice location

1200 Fairmont CT
Fayetteville, NC 28304-4403

Mailing address

241 Gladstone St
Raeford, NC 28376-3263
Phone (910) 261-7618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250604000508 NC Practitioner - Nurse Practitioner 9638688328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Carolina Neuropsychiatric Center PAGroup PAC ID 5890794689, 28 clinicians

Practice addresses (Care Compare)

200 Tarpon TRL
Jacksonville, NC 28546-5287
Phone (910) 938-1114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Neuropsychiatric Center, PA CurrentSince May 27, 2025 Accepting new patients

Locations

1200 Fairmont Ct
Fayetteville, NC 28304
Phone (910) 429-1114

200 Tarpon Trl
Jacksonville, NC 28546
Phone 9109381114139

302 Penny Ln
Morehead City, NC 28557
Phone (252) 726-8016

1630 Military Cutoff Rd
Ste 108
Wilmington, NC 28403

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1992507412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GLADSTONE ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763263",
            "telephone_number": "910-261-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 FAIRMONT CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044403",
            "telephone_number": "910-429-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "BRITTANY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5021871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.