Charlotte Anderson

Key facts

NPI

1386115376

Entity type

Individual (NPI type 1)

Primary specialty

Personal Care Attendant 3747P1801X

Practice address

2819 Judy Ave
Odessa, TX 79764-2438

Phone

(432) 413-8167

NPI assigned

Dec 17, 2018

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 17, 2018.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1386115376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 JUDY AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797642438",
            "telephone_number": "432-413-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 JUDY AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797642438",
            "telephone_number": "432-413-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHARLOTTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

• Amy Carrillo NP, PLLC
• Mohannad Mahmoud Anbarserri, MD
• Amy Anderson, BCBA, LBA
• Belinda Sue Anderson, PTA
• Brooke Hannah Anderson
• Errol Claude Anderson, M.D.
• Wesley Dale Anderson, L.S.A.
• Andes Dental PLLC
• Gregory Aaron Andis, M.S., LAT, ATC, PTA
• Grace Castillo Andrade, PA-C

All providers in Odessa, TX · Personal Care Attendant in Texas