Individual provider Active NPI

Charles V Stotts, CPR, FIRST AID, AED

  • Personal Care Attendant
  • Washington, DC
National Provider Identifier
1558171850
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
256015819242 Issued in DC
Practice address
701 Brandywine St SE Apt 301
Washington, DC 20032-3551
Phone
(202) 883-0378
NPI assigned
Jan 9, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 256015819242 DC Primary

Addresses

Primary practice location

701 Brandywine St SE Apt 301
Washington, DC 20032-3551

Mailing address

1443 Smith PL SE Apt 102
Washington, DC 20032-4777
Phone (202) 883-0378

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
256015819242DCMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1558171850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 SMITH PL SE APT 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324777",
            "telephone_number": "202-883-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BRANDYWINE ST SE APT 301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200323551",
            "telephone_number": "202-883-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTTS",
        "first_name": "CHARLES",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "CPR, FIRST AID, AED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "DC",
            "license": "256015819242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.