Active NPI
Charlene Rogers Echols, ARNP
- Family Nurse Practitioner
- Milton, FL
National Provider Identifier
1528272168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 129866-2
- Practice address
- 5520 Stewart St
Milton, FL 32570-4304 - Phone
- (850) 981-9433
- Fax
- (850) 981-9346
- NPI assigned
- May 10, 2007
- Last updated
- Jun 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 129866-2 | FL | Primary |
Addresses
Primary practice location
5520 Stewart St
Milton, FL 32570-4304
Mailing address
5520 Stewart St
Milton, FL 32570-4304
Phone (850) 981-9433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033368900 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129866-2 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1528272168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 STEWART ST",
"city": "MILTON",
"state": "FL",
"postal_code": "325704304",
"telephone_number": "850-981-9433",
"fax_number": "850-981-9346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 STEWART ST",
"city": "MILTON",
"state": "FL",
"postal_code": "325704304",
"telephone_number": "850-981-9433",
"fax_number": "850-981-9346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHOLS",
"first_name": "CHARLENE",
"middle_name": "ROGERS",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "129866-2",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033368900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.