Active NPI
Charlotte Joy Alexandra Steele-Morris, M.D.
- Pediatrics Physician
- West Lafayette, IN
National Provider Identifier
1235680224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01036352A
- Practice address
- 715 Clinic Dr
Purdue University, Lyles-Porter Hall
West Lafayette, IN 47907-2122 - Phone
- (765) 494-8588
- NPI assigned
- Oct 14, 2016
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01036352A | IN | Primary |
Addresses
Primary practice location
715 Clinic Dr
Purdue University, Lyles-Porter Hall
West Lafayette, IN 47907-2122
Mailing address
339 Fernleaf Dr
West Lafayette, IN 47906-2180
Phone (765) 494-8588
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01036352A | IN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1235680224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 FERNLEAF DR",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479062180",
"telephone_number": "765-494-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 CLINIC DR",
"address_2": "PURDUE UNIVERSITY, LYLES-PORTER HALL",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479072122",
"telephone_number": "765-494-8588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE-MORRIS",
"first_name": "CHARLOTTE JOY",
"middle_name": "ALEXANDRA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-14",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01036352A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.