Individual provider Active NPI

Charrita Anniese Ernewein, ARNP

  • Family Nurse Practitioner
  • Lutz, FL
National Provider Identifier
1083959688
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9186728 Issued in FL
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Sources for this page

Verify at the official NPI Registry.