Individual provider Active NPI

Charle' Chanson Francinne Avery, MSN RN ANP-BC GNP-BC

  • Adult Health Nurse Practitioner
  • Cedar Hill, TX
National Provider Identifier
1104006683
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
531436 Issued in TX
Practice address
918 Cedar Ter
Cedar Hill, TX 75104-7908
Phone
(972) 679-6845
NPI assigned
Nov 13, 2007
Last updated
Apr 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 531436 TX Primary
Gerontology Nurse Practitioner 363LG0600X 531436 TX

Addresses

Primary practice location

918 Cedar Ter
Cedar Hill, TX 75104-7908

Mailing address

918 Cedar Ter
Cedar Hill, TX 75104-7908
Phone (972) 291-2473

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
531436TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indelible Health & Wellness LLC Past Accepting new patients
Harold Wagner DO PA Past Accepting new patients
Baylor University Medical Center Past Accepting new patients
General Internal Medicine, PA Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1104006683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 CEDAR TER",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751047908",
            "telephone_number": "972-291-2473",
            "fax_number": "972-291-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 CEDAR TER",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751047908",
            "telephone_number": "972-679-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "CHARLE'",
        "middle_name": "CHANSON FRANCINNE",
        "name_prefix": "Ms.",
        "credential": "MSN RN ANP-BC GNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "531436",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "531436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.