Active NPI
Charlotte J. Michels Asbury, N.P.-C.
- Family Nurse Practitioner
- Minnetonka, MN
National Provider Identifier
1376501114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704119979
- Practice address
- 9900 Bren Rd E
Minnetonka, MN 55343-9664 - Phone
- (866) 799-5886
- NPI assigned
- May 2, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704119979 | MI | Primary |
Addresses
Primary practice location
9900 Bren Rd E
Minnetonka, MN 55343-9664
Mailing address
545 Scotland St
Dunedin, FL 34698-7042
Phone (231) 838-0688
Other practice location 1
8881 M 119
Harbor Springs, MI 49740-9586
Phone (231) 347-5400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4660180 10 | Medicaid | MI | |
| 5008703230 | Other | MI | BCBS PIN |
Other names 1
- Charlotte M Asbury
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704119979 | MI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1376501114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 SCOTLAND ST",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346987042",
"telephone_number": "231-838-0688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 BREN RD E",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439664",
"telephone_number": "866-799-5886"
}
],
"practiceLocations": [
{
"address_1": "8881 M 119",
"address_purpose": "LOCATION",
"city": "Harbor Springs",
"state": "MI",
"postal_code": "497409586",
"country_code": "US",
"telephone_number": "231-347-5400",
"fax_number": "231-347-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASBURY",
"first_name": "CHARLOTTE",
"middle_name": "J. MICHELS",
"credential": "N.P.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704119979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4660180 10",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "5008703230",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLOTTE",
"last_name": "ASBURY",
"middle_name": "M",
"credential": "N.P.-C.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.