Charlena Violet Archer, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN124719 Issued in OH

Practice address

1075 Maple Grove Rd
Chillicothe, OH 45601

Phone

(740) 772-4349

NPI assigned

Aug 1, 2007

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1477743805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 MAPLE GROVE RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018906",
            "telephone_number": "740-772-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 MAPLE GROVE RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "45601",
            "telephone_number": "740-772-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "CHARLENA",
        "middle_name": "VIOLET",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN124719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andersons Drug Store Inc (Anderson Drug Store)
• Jennifer Elaine Angus
• Another Chance IHS LLC
• Mbah Anyangwe, PHARMD, RPH
• Ara-Chillicothe Dialysis LLC (Chillicothe Regional Dialysis Center)
• Coralynne Archey
• Theresa Lee Argeroplos, NURSING
• Darian Paige Arledge, PA-C
• Emma Olive Arledge
• Charity Armbruster, MED., LPC-CR

• Licensed Practical Nurse in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.