Active NPI
Charlotte Davis, RN
- Community Health Registered Nurse
- Vancouver, WA
National Provider Identifier
1336857382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 202100801RN
- Practice address
- 2909 NE 130TH Ave
Vancouver, WA 98682-7989 - Phone
- (714) 421-0226
- NPI assigned
- Nov 8, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 202100801RN | OR | Primary |
| Neuroscience Registered Nurse | 163WN0800X | 95086405 | CA |
Addresses
Primary practice location
2909 NE 130TH Ave
Vancouver, WA 98682-7989
Mailing address
2909 NE 130TH Ave
Vancouver, WA 98682-7989
Phone (714) 421-0226
Other names 1
- Charlotte Frazee
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cdavis@ourhousenw.org | Direct | CASCADE AIDS PROJECT |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202100801RN | OR | MD | Community Health Registered Nurse |
| 95086405 | CA | MD | Neuroscience Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1336857382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2909 NE 130TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986827989",
"telephone_number": "714-421-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 NE 130TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986827989",
"telephone_number": "714-421-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CHARLOTTE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-08",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "OR",
"license": "202100801RN",
"primary": true
},
{
"code": "163WN0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neuroscience",
"state": "CA",
"license": "95086405",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cdavis@ourhousenw.org",
"affiliation": "Y",
"endpointDescription": "Email",
"affiliationName": "CASCADE AIDS PROJECT",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "N/A",
"address_1": "2236 SE Belmont St",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972142817",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHARLOTTE",
"last_name": "FRAZEE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.