Active NPI
Charles T Wemple, R.N.
- Registered Nurse
- Taos, NM
National Provider Identifier
1073563326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN-75869
- Practice address
- 413 Sipapu St
Taos, NM 87571-6489 - Phone
- (575) 758-5857
- Fax
- (575) 758-2832
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Registered Nurse | 163W00000X | RN-75869 | NM | Primary |
Addresses
Primary practice location
413 Sipapu St
Taos, NM 87571-6489
Mailing address
PO Box 1403
El Prado, NM 87529-1403
Phone (575) 613-2098
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-75869 | NM | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Community Services, Inc | 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 and National Provider Directory roles.
-
- Recovery Care Clinic/Center
- Taos, NM
- NPI 1912995242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343606400000",
"number": "1073563326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1403",
"city": "EL PRADO",
"state": "NM",
"postal_code": "875291403",
"telephone_number": "575-613-2098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 SIPAPU ST",
"city": "TAOS",
"state": "NM",
"postal_code": "875716489",
"telephone_number": "575-758-5857",
"fax_number": "575-758-2832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEMPLE",
"first_name": "CHARLES",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2012-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "RN-75869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.