Active NPI
Charmaine Carido Sargent, APRN
- Nurse Practitioner
- Chewelah, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61572189
- Practice address
- 518 E Clay Ave
Chewelah, WA 99109-8947 - Phone
- (509) 935-6004
- NPI assigned
- Mar 15, 2024
- Last updated
- Aug 9, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11031849 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Health Programs Association | Current | Accepting new patients | |
| New Health Programs Association | Current | 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
- 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.
-
dba NEW Health Chewelah Medical
- Federally Qualified Health Center (FQHC)
- Chewelah, WA
- NPI 1679537575
-
- Federally Qualified Health Center (FQHC)
- Orient, WA
- NPI 1386608560
-
dba NEW Health Newport Medical
- Federally Qualified Health Center (FQHC)
- Newport, WA
- NPI 1407530157
-
dba NEW Health Springdale Medical
- Federally Qualified Health Center (FQHC)
- Springdale, WA
- NPI 1104880004
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence St Joseph Hospital
- Critical Access Hospital
- Chewelah, WA
- NPI 1750532321
-
dba Providence Mount Carmel Hospital
- Critical Access Hospital
- Colville, WA
- NPI 1003067679
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.