Individual provider Active NPI

Charles M Dutch, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1417300146
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131447 Issued in TX
Practice address
6219 Irvington Blvd
Houston, TX 77022-5951
Phone
(832) 380-2580
Fax
(832) 380-2583
NPI assigned
Jul 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131447 TX Primary

Addresses

Primary practice location

6219 Irvington Blvd
Houston, TX 77022-5951

Mailing address

9311 Aberdeen Lake Dr
Houston, TX 77095-4940
Phone (713) 677-4193

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
AP131447TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tue Duc Nguyen MD PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charles.dutch@nlmecp-tx.direct.office.nextgen.com

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": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417300146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 ABERDEEN LAKE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770954940",
            "telephone_number": "713-677-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6219 IRVINGTON BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770225951",
            "telephone_number": "832-380-2580",
            "fax_number": "832-380-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTCH",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.