Individual provider Active NPI

Charlotte A Light, C.N.M.

  • Midwife
  • Reading, PA
National Provider Identifier
1558339309
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW-008206L Issued in PA
Practice address
3701 Perkiomen Ave
Reading, PA 19606-2739
Phone
(610) 779-6550
Fax
(610) 779-8295
NPI assigned
Mar 9, 2006
Last updated
Nov 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW-008206L PA Primary

Addresses

Primary practice location

3701 Perkiomen Ave
Reading, PA 19606-2739

Mailing address

PO Box 13579
Reading, PA 19612-3579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130912000093 PA Practitioner - Certified Nurse Midwife (CNM) 8527202688 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
MW-008206LPAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince Jul 1, 2013 Accepting new patients
Nabil S. Muallem, M.D. CurrentSince May 17, 2021 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Tower Health Medical Group CurrentSince Jul 1, 2013 Accepting new patients

Locations

3701 Perkiomen Ave
Reading, PA 19606
Phone (610) 779-5600

301 S 7th Ave
Ste 115
West Reading, PA 19611
Phone (484) 628-9127

1330 Penn Ave
Wyomissing, PA 19610
Phone (610) 373-0165

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1558339309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 PERKIOMEN AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062739",
            "telephone_number": "610-779-6550",
            "fax_number": "610-779-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "CHARLOTTE",
        "middle_name": "A",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "PA",
            "license": "MW-008206L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.