Active NPI
Charnelle Wilson
- Adult Companion
- Washington, DC
National Provider Identifier
1316577539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 1130 47TH PL NE
Washington, DC 20019-3904 - Phone
- (202) 290-0619
- NPI assigned
- Jan 16, 2020
- Last updated
- Jan 16, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | NU | Primary |
Addresses
Primary practice location
1130 47TH PL NE
Washington, DC 20019-3904
Mailing address
832 52ND St NE
Washington, DC 20019-5511
Phone (202) 290-0619
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1316577539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 52ND ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200195511",
"telephone_number": "202-290-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 47TH PL NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193904",
"telephone_number": "202-290-0619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CHARNELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-16",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.