Charlotte R Drake, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R867991 Issued in MS

Practice address

1264 Wesley Dr
Suite 501
Memphis, TN 38116-6400

Phone

(901) 346-1800

Fax

(901) 346-0043

NPI assigned

Jun 1, 2010

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Methodist Healthcare Community Care AssociatesGroup PAC ID 0941113757, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD
• Direct secure messaging: cdrake24010@mlh.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Methodist Healthcare Community Care Associates

  • Urgent Care Clinic/Center
  • Cordova, TN
  • NPI 1194839241
  Medicare reassignment Care Compare group NPD
• Methodist Healthcare Community Care Associates

  dba Methodist Minor Medical Olive Branch

  • Urgent Care Clinic/Center
  • Olive Branch, MS
  • NPI 1821272501
  Medicare reassignment
• Adult Primary Care of Memphis PC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1376738906
  NPD (past)
• Consolidated Medical Practices of Memphis,PLLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1508027491
  NPD (past)
• Crescent Medical Inc.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1295926590
  NPD (past)
• Prohealth Chiropractic LLC

  dba Dr. Alan James

  • Chiropractor
  • Memphis, TN
  • NPI 1033279047
  NPD (past)

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1548580509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7163 GOODMAN RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541904",
            "telephone_number": "662-895-3700",
            "fax_number": "662-895-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 WESLEY DR",
            "address_2": "SUITE 501",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166400",
            "telephone_number": "901-346-1800",
            "fax_number": "901-346-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "CHARLOTTE",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R867991",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18717",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01685008",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr.Lopez Spiritual Family Counseling (Lopez Christian Family Couseling)
• Jennifer Drabowicz, EDD, LPC-MHSP
• Dragonfly Health RX, Inc. (Enclara Pharmacia, Inc.)
• Elizabeth R Drain, LPC
• Yolanda S Draine, DHA
• Jackie Doyle Drake Jr., D.D.S.
• Reagan Leanne Drake, ATC,LAT, OTR/L
• Rosa Martha Drannon, PHARMD
• Heather Hartman Draper, PA-C
• Jacqueline Yvonne Draper, MD

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.