Individual provider Active NPI

Charity Grant McDaniel, NP

  • Primary Care Nurse Practitioner
  • Cary, NC
National Provider Identifier
1003516147
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F12220646 Issued in NC
Practice address
217 Westover Hills Dr
Cary, NC 27513-2959
Phone
(501) 266-4317
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F12220646 NC Primary

Addresses

Primary practice location

217 Westover Hills Dr
Cary, NC 27513-2959

Mailing address

217 Westover Hills Dr
Cary, NC 27513-2959
Phone (501) 266-4317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240401000259 NM Practitioner - Nurse Practitioner 1153769831 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F12220646NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cibola General Hospital Corporation CurrentSince Feb 28, 2024 Accepting new patients

Locations

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4d334a73-dc4a-445d-a950-509dd7bc0fd9/

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": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1003516147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WESTOVER HILLS DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132959",
            "telephone_number": "501-266-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 WESTOVER HILLS DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132959",
            "telephone_number": "501-266-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "CHARITY",
        "middle_name": "GRANT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "F12220646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.