Individual provider Active NPI

Charlotte Dorko, CRNP

  • Women's Health Nurse Practitioner
  • Langhorne, PA
National Provider Identifier
1205822095
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
VP000677G Issued in PA
Practice address
540 Woodbourne Rd
Langhorne, PA 19047-1835
Phone
(215) 750-7771
Fax
(215) 750-6935
NPI assigned
Sep 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NN06254500 NJ
Women's Health Nurse Practitioner 363LW0102X VP000677G PA Primary

Addresses

Primary practice location

540 Woodbourne Rd
Langhorne, PA 19047-1835

Mailing address

540 Woodbourne Rd
Langhorne, PA 19047-1835
Phone (215) 750-7771

Other identifiers 2

IdentifierTypeStateIssuer
2518038OtherPAHIGHMARK BS
50094885OtherPACAPITAL BLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address charlotte.dorko.1@12833.direct.athenahealth.com Direct

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northampton Clinic Company LLC Past Accepting new patients
Somerset OBGYN Association Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1205822095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 WOODBOURNE RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471835",
            "telephone_number": "215-750-7771",
            "fax_number": "215-750-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 WOODBOURNE RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471835",
            "telephone_number": "215-750-7771",
            "fax_number": "215-750-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORKO",
        "first_name": "CHARLOTTE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NN06254500",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "VP000677G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "2518038",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50094885",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charlotte.dorko.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "540 Woodbourne Rd",
            "city": "Langhorne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190471835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.