Charla Whiteside Durden

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA18328 Issued in FL

Practice address

4410 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-8130

Phone

(850) 749-5215

NPI assigned

Feb 3, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1427754167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8255 FOXTAIL LOOP",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325263243",
            "telephone_number": "512-426-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325638130",
            "telephone_number": "850-749-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURDEN",
        "first_name": "CHARLA",
        "middle_name": "WHITESIDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA18328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather M Drazdowski, PHARMD
• Bonnie Duce
• Felecia Dukes
• Serena Dunham, PHYSICAL THERAPIST
• Emily Durand, ATC
• Kimberly K Durham, CRNA
• Jacqueline Kimberly Duvall, M.A.,BCBA
• Barbara Mary Ebel, MD
• Elaine C Sharp MD PA
• Krystal Eldreth, AP

• Occupational Therapy Assistant in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.