Active NPI
Charity Grant McDaniel, NP
- Primary Care Nurse Practitioner
- Cary, NC
National Provider Identifier
1003516147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- F12220646
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F12220646 | NC | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cibola General Hospital Corporation | Current | Accepting new patients |
Locations
1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500
Interoperability endpoints
- 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.
-
- Critical Access Hospital
- Grants, NM
- NPI 1780677039
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.