RENEE BEAUREGARD PLLC NPI 1790572303

NPI Information

  • NPI: 1790572303
  • Provider Name: RENEE BEAUREGARD, PLLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 1515 MOCKINGBIRD LN STE 420
    CHARLOTTE, NC
    ZIP 28209
  • Phone: (717) 870-9303

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NPI Details

RENEE BEAUREGARD, PLLC is a psychiatric/mental health nurse practitioner in Charlotte, NC. RENEE BEAUREGARD, PLLC NPI is 1790572303. The provider is registered as an organization entity type.

The provider's business location address is:

1515 MOCKINGBIRD LN STE 420
CHARLOTTE, NC
ZIP 28209-236
Phone: (717) 870-9303

The provider's authorized official is Renee Beauregard .
The authorized official title is Owner and has the following contact phone number (717) 870-9303.

The enumeration date for this NPI number is 4/24/2025 and was last updated on 9/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
116125360MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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