Individual provider Active NPI

Charmaine Carido Sargent, APRN

  • Nurse Practitioner
  • Chewelah, WA
National Provider Identifier
1326807116
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61572189 Issued in WA
Practice address
518 E Clay Ave
Chewelah, WA 99109-8947
Phone
(509) 935-6004
NPI assigned
Mar 15, 2024
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11031849 FL
Nurse Practitioner 363L00000X AP61572189 WA Primary

Addresses

Primary practice location

518 E Clay Ave
Chewelah, WA 99109-8947

Mailing address

518 E Clay Ave
Chewelah, WA 99109-8947
Phone (509) 935-6004

Other practice location 1

6795 Fort Deposit Dr
Pensacola, FL 32526-5121
Phone (972) 571-3910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821002407 WA Practitioner - Nurse Practitioner 9931647989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Health Programs AssociationGroup PAC ID 1951202373, 10 clinicians

Practice addresses (Care Compare)

518 E Clay Ave
Chewelah, WA 99109-8947
Phone (509) 935-8424

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11031849FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Health Programs Association CurrentSince Sep 23, 2024 Accepting new patients
New Health Programs Association CurrentSince Sep 23, 2024 Accepting new patients
New Health Programs Association Current Accepting new patients
New Health Programs Association Past Accepting new patients

Locations

518 E Clay Ave
Chewelah, WA 99109
Phone (509) 935-6004

358 N Main St
Colville, WA 99114
Phone (509) 684-1440

3994 Colville Rd
Loon Lake, WA 99148
Phone (509) 233-8412

435 W Walnut St
Newport, WA 99156
Phone (509) 447-0888

5952 Blackstone Way
Nine Mile Falls, WA 99026
Phone (509) 464-3627

114 S Main St
Springdale, WA 99173
Phone (509) 258-4234

Interoperability endpoints

  • Direct secure messaging: charmaine.carido-sargent.1@18424.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1326807116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 E CLAY AVE",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991098947",
            "telephone_number": "509-935-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E CLAY AVE",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991098947",
            "telephone_number": "509-935-6004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6795 Fort Deposit Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325265121",
            "country_code": "US",
            "telephone_number": "972-571-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARIDO SARGENT",
        "first_name": "CHARMAINE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11031849",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61572189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chewelah, WA

Sources for this page

Verify at the official NPI Registry.