Charnele Mardner, QDDP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

150 Riverside Pkwy Ste 115
Fredericksburg, VA 22406-1094

Phone

(540) 530-5545

NPI assigned

Nov 30, 2023

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

Practice roles

Locations

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.

• Advocating Better Lives for Everyone

  • Developmentally Disabled Services Day Training Agency
  • Ruther Glen, VA
  • NPI 1902627185

  Case Manager/Care Coordinator

  NPD Authorized official

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1265208243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RIVERSIDE PKWY STE 115",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224061094",
            "telephone_number": "540-530-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RIVERSIDE PKWY STE 115",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224061094",
            "telephone_number": "540-530-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDNER",
        "first_name": "CHARNELE",
        "credential": "QDDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole M Maravi, CSFA
• Shannon Marceron
• Charbel Antoine Marche, MS, MD
• Kelly Marcotte, OT
• Emma Grace Marcus, DNP, FNP-BC
• Comfort R Marean, LMT
• Margaret B Kenerly, LCSW, PLLC
• Johnafaye Apostol Mariano, DO
• Joseph M. Marietta, M.D.
• Mark Bower PLLC

• Case Manager/Care Coordinator in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Case Manager/Care Coordinator in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.