Active NPI
Charrita Anniese Ernewein, ARNP
- Family Nurse Practitioner
- Lutz, FL
National Provider Identifier
1083959688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9186728
- Practice address
- 24420 Sr 54
Lutz, FL 33559-7303 - Phone
- (813) 949-4100
- Fax
- (813) 949-4144
- NPI assigned
- Dec 7, 2012
- Last updated
- Dec 7, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9186728 | FL | Primary |
Addresses
Primary practice location
24420 Sr 54
Lutz, FL 33559-7303
Mailing address
2535 Mason Oaks Dr
Valrico, FL 33596-6498
Phone (813) 892-0635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121218000539 | FL | Practitioner - Nurse Practitioner | 6709038862 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354838400000",
"number": "1083959688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 MASON OAKS DR",
"city": "VALRICO",
"state": "FL",
"postal_code": "335966498",
"telephone_number": "813-892-0635",
"fax_number": "727-789-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24420 SR 54",
"city": "LUTZ",
"state": "FL",
"postal_code": "335597303",
"telephone_number": "813-949-4100",
"fax_number": "813-949-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERNEWEIN",
"first_name": "CHARRITA",
"middle_name": "ANNIESE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-07",
"last_updated": "2012-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9186728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
- Enhanced Beauty Med Spa, Inc.
- Nohoris Maria Ensuncho Barcenas
- Envision Pharmacy and Healthcare Services LLC (Envision Pharmacy)
- Envision Pharmacy and Healthcare Services LLC (Envision Pharmacy)
- Eric D Teeman, DPM, PA (Mobile Podiatry Service)
- Daniel Oluwadare Esan, DO
- Vanessa Escobar, M.D.
- Esenberg Chiropractic Centre PA
- Scott Christian Esenberg
- Santino Esposito
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.