Active NPI
Charice N Carver
- Registered Nurse
- Fort Wayne, IN
National Provider Identifier
1053930636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28234156A
- Practice address
- 1920 Duprey Dr
Fort Wayne, IN 46815-7611 - Phone
- (260) 249-5324
- NPI assigned
- Apr 13, 2020
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28234156A | IN | Primary |
Addresses
Primary practice location
1920 Duprey Dr
Fort Wayne, IN 46815-7611
Mailing address
1930 Mathias St
Fort Wayne, IN 46815-7119
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 |
|---|---|---|---|
| 28234156A | IN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745712000000",
"number": "1053930636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 MATHIAS ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468157119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 DUPREY DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468157611",
"telephone_number": "260-249-5324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARVER",
"first_name": "CHARICE",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-13",
"last_updated": "2025-04-27",
"certification_date": "2025-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28234156A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.