Active NPI
Charlette N King, NP
- Women's Health Nurse Practitioner
- Virginia Beach, VA
National Provider Identifier
1326439555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 0024165405
- Practice address
- 2865 Lynnhaven Dr Ste A4
Virginia Beach, VA 23451-1542 - Phone
- (757) 496-5000
- Fax
- (757) 496-5000
- NPI assigned
- Feb 10, 2015
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 0024165405 | VA | Primary |
Addresses
Primary practice location
2865 Lynnhaven Dr Ste A4
Virginia Beach, VA 23451-1542
Mailing address
2865 Marina Shores Dr
Suite 4a
Virginia Beach, VA 23451
Phone (757) 496-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017137699 | Other | VA | LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1326439555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2865 MARINA SHORES DR",
"address_2": "SUITE 4A",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23451",
"telephone_number": "757-496-5000",
"fax_number": "757-496-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 LYNNHAVEN DR STE A4",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234511542",
"telephone_number": "757-496-5000",
"fax_number": "757-496-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "CHARLETTE",
"middle_name": "N",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-10",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "VA",
"license": "0024165405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0017137699",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.