Individual provider Active NPI

Marie Dume-Charles, LPN

  • Licensed Practical Nurse
  • Philadelphia, PA
National Provider Identifier
1376088294
Registry record updated Jan 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN099945L Issued in PA
Practice address
10067 Sandmeyer LN
Suite 212
Philadelphia, PA 19116-3533
Phone
(215) 399-9766
NPI assigned
Jan 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN099945L PA Primary

Addresses

Primary practice location

10067 Sandmeyer LN
Suite 212
Philadelphia, PA 19116-3533

Mailing address

10067 Sandmeyer LN
Suite 212
Philadelphia, PA 19116-3533
Phone (215) 399-9766

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

State licenses

LicenseStateTypeSpecialty
PN099945LPAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Provisions Home Healthcare Services,LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483315200000",
    "number": "1376088294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10067 SANDMEYER LN",
            "address_2": "SUITE 212",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163533",
            "telephone_number": "215-399-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10067 SANDMEYER LN",
            "address_2": "SUITE 212",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163533",
            "telephone_number": "215-399-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUME-CHARLES",
        "first_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-02",
        "last_updated": "2017-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN099945L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; 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.