Charis W Peek, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-087501 Issued in AL

Practice address

2207 Moody Ridge Rd
Scottsboro, AL 35768-4113

Phone

(256) 259-1327

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charis.peek.1@29321.direct.athenahealth.com

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.

• Scottsboro Internal Medicine, PC

  • Internal Medicine Physician
  • Scottsboro, AL
  • NPI 1851527923
  Medicare reassignment NPD
• Mandi Allen Bell MD PC

  • Family Medicine Physician
  • Scottsboro, AL
  • NPI 1720779960
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1083756472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 COUNTY ROAD 668",
            "city": "PISGAH",
            "state": "AL",
            "postal_code": "357657170",
            "telephone_number": "256-657-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 MOODY RIDGE RD",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684113",
            "telephone_number": "256-259-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEK",
        "first_name": "CHARIS",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-087501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Centers, Inc. (Audibel Hearing Center)
• Northland Hearing Centers, Inc. (Center for Hearing Scottsboro)
• Amanda Oconnor, B.S.
• Open MRI of Scottsboro, LLC
• Parks Avenue Drugs
• Gina Marie Herrera Pendleton, PT, DPT
• Olivia Elliott Peters, MD
• Coty Phillips Johnson, CRNP
• Stephanie Grider Phillips, CRNP
• David Pierce, D.C.

• Nurse Practitioner in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.

Verify at the official NPI Registry.