Individual provider Active NPI

Charlene Mary Herman, R.N., B.S.N.

  • Home Health Registered Nurse
  • Toledo, OH
National Provider Identifier
1336241850
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN 208172 Issued in OH
Practice address
3805 Rushland Ave
Toledo, OH 43613-4313
Phone
(419) 471-0124
NPI assigned
Sep 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2311475OtherOHRN 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

LicenseStateTypeSpecialty
RN 208172OHMDHome 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.

Verify at the official NPI Registry.