Active NPI
Charlene Mary Herman, R.N., B.S.N.
- Home Health Registered Nurse
- Toledo, OH
National Provider Identifier
1336241850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN 208172
- Practice address
- 3805 Rushland Ave
Toledo, OH 43613-4313 - Phone
- (419) 471-0124
- NPI assigned
- Sep 4, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN 208172 | OH | Primary |
Addresses
Primary practice location
3805 Rushland Ave
Toledo, OH 43613-4313
Mailing address
1085 Eastbrook Dr
Perrysburg, OH 43551-1646
Phone (419) 872-4657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2311475 | Other | OH | RN INDEPENDENT PROVIDER |
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 208172 | OH | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336241850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1085 EASTBROOK DR",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511646",
"telephone_number": "419-872-4657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 RUSHLAND AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436134313",
"telephone_number": "419-471-0124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "CHARLENE",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "R.N., B.S.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "OH",
"license": "RN 208172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN INDEPENDENT PROVIDER",
"identifier": "2311475",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.