Active NPI
Charlotte Louise Hunter, MD
- Family Medicine Physician
- Los Alamos, NM
National Provider Identifier
1104920289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD2017-0966
- Practice address
- 3917 West Rd Ste a
Los Alamos, NM 87544-2292 - Phone
- (505) 661-8900
- Fax
- (505) 661-8916
- NPI assigned
- Sep 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 Medicine Physician | 207Q00000X | MD2017-0966 | NM | Primary |
Addresses
Primary practice location
3917 West Rd Ste a
Los Alamos, NM 87544-2292
Mailing address
3917 West Rd Ste a
Los Alamos, NM 87544-2292
Phone (505) 661-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104929289 | Other | HI | MEDICARE |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2017-0966 | NM | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524009600000",
"number": "1104920289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3917 WEST RD STE A",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875442292",
"telephone_number": "505-661-8900",
"fax_number": "505-661-8916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3917 WEST RD STE A",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875442292",
"telephone_number": "505-661-8900",
"fax_number": "505-661-8916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "CHARLOTTE",
"middle_name": "LOUISE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2018-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2017-0966",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1104929289",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Alamos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.