Active NPI
Charlene Berube, ARNP
- Adult Health Nurse Practitioner
- Salem, NH
National Provider Identifier
1033507397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 02396623-05
- Practice address
- 23 Stiles Rd
Suite 213
Salem, NH 03079-2859 - Phone
- (603) 898-9834
- NPI assigned
- Jan 8, 2015
- Last updated
- Jan 8, 2015
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 02396623-05 | NH | Primary |
Addresses
Primary practice location
23 Stiles Rd
Suite 213
Salem, NH 03079-2859
Mailing address
23 Stiles Rd
Suite 213
Salem, NH 03079-2859
Phone (603) 898-9834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02396623-05 | NH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loew Family Medical Practice, PLLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Salem, NH
- NPI 1376873109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420675200000",
"number": "1033507397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 STILES RD",
"address_2": "SUITE 213",
"city": "SALEM",
"state": "NH",
"postal_code": "030792859",
"telephone_number": "603-898-9834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 STILES RD",
"address_2": "SUITE 213",
"city": "SALEM",
"state": "NH",
"postal_code": "030792859",
"telephone_number": "603-898-9834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERUBE",
"first_name": "CHARLENE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-08",
"last_updated": "2015-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NH",
"license": "02396623-05",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.