Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Frederico Jose Reis Soares

Individual provider Acute Care Nurse Practitioner · NPI 1134870066

Frederico Jose Reis Soares is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2021, 5 years ago. Practices with The Charlotte-Mecklenburg Hospital Authority, a 589-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2022
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Practice location Address checks out

1021 Morehead Medical Dr
Charlotte, NC 28204-2990
Phone: (980) 442-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 5015542 (NC)

Record details

NPI number1134870066
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 12, 2022
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice The Charlotte-Mecklenburg Hospital Authority — 589 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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