Charlene H Anderson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

711330 Issued in TX

Practice address

3111 Raymond CT
Texas City, TX 77591-7043

Phone

(409) 986-5829

Fax

(409) 986-5829

NPI assigned

Dec 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Caring Hearts Personal Care Facility

  • Assisted Living Facility (Mental Illness)
  • Texas City, TX
  • NPI 1811213416
  NPD (past) Authorized official

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1235408113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2661",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775922661",
            "telephone_number": "409-986-5829",
            "fax_number": "409-986-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 RAYMOND CT",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775917043",
            "telephone_number": "409-986-5829",
            "fax_number": "409-986-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHARLENE",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "711330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amed Ambulance Inc
• Amed-Coastal Therapists, Inc
• Amed-Medical,Inc.
• King Kobe Ampofo, DO
• Elijah Aidan Ancira
• Paul R Anderson, PHARMACIST
• Viola V. Anderson, M.D.
• Anna Rotkiewicz MD PA
• Luis Antunez
• Apex Home Health

• Registered Nurse in Texas City, TX
• Providers in Texas City, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.