Charlotte Eunice Fludd-Israel

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

11814 Sweetpea CT
Tampa, FL 33635-6224

Phone

(813) 765-5418

Fax

(813) 855-5725

NPI assigned

Jul 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1184854853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11814 SWEETPEA CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336356224",
            "telephone_number": "813-765-5418",
            "fax_number": "813-855-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11814 SWEETPEA CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336356224",
            "telephone_number": "813-765-5418",
            "fax_number": "813-855-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUDD-ISRAEL",
        "first_name": "CHARLOTTE",
        "middle_name": "EUNICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CI# / INTERNATIONAL FITNESS ASSOCIATION",
            "identifier": "225479",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Frances Floyd, APRN
• Erin A Floyd
• John P Floyd IV, CRNA
• Julia Lee Floyd, CRNA
• Tamika Teannette Floyd
• Jodee Flurry, PA-C
• Brianna June Flynn
• Danielle Flynn, M.S.
• Kortni S Flynn, M.D.
• Lea Flynn

• Community Health Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.