Organization Active NPI

Charis Healthcare Solutions LLC

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1477235893
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CHARIS HEALTHCARE SOLUTIONS LLC
Practice address
11937 Summerwind Dr
Fort Worth, TX 76244-7598
Phone
(682) 558-4850
NPI assigned
Aug 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Nosakhare Omosedeh Adu, NURSE PRACTIONER
Title
Owner
Phone
(682) 558-4850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

11937 Summerwind Dr
Fort Worth, TX 76244-7598

Mailing address

11937 Summerwind Dr
Fort Worth, TX 76244-7598
Phone (682) 558-4850

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1477235893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11937 SUMMERWIND DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762447598",
            "telephone_number": "682-558-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11937 SUMMERWIND DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762447598",
            "telephone_number": "682-558-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIS HEALTHCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "ADU",
        "authorized_official_first_name": "NOSAKHARE",
        "authorized_official_middle_name": "OMOSEDEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-558-4850",
        "authorized_official_credential": "NURSE PRACTIONER"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.