Individual provider Active NPI

Charity Nichole Dearmond

  • Nurse Practitioner
  • Miamisburg, OH
National Provider Identifier
1629326657
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.06773 Issued in OH
Practice address
55 Pinnacle Point Dr
Miamisburg, OH 45342-5015
Phone
(937) 886-5777
Fax
(937) 886-5774
NPI assigned
Aug 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.06773 OH
Nurse Practitioner 363L00000X APRN.CNP.06773 OH Primary

Addresses

Primary practice location

55 Pinnacle Point Dr
Miamisburg, OH 45342-5015

Mailing address

PO Box 643398
Cincinnati, OH 45264-3398
Phone (513) 221-1100

Other practice location 1

9075 Centre Pointe Dr Ste 200
West Chester, OH 45069-4886
Phone (513) 221-1100

Other names 1

  • Charity Nichole Sulfridge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240619001469 OH Practitioner - Nurse Practitioner 1153864095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayfield Clinic IncGroup PAC ID 9133013006, 74 clinicians

Practice addresses (Care Compare)

55 Pinnacle Point Dr
Miamisburg, OH 45342-5015
Phone (513) 221-1100

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.06773OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfield Clinic Inc CurrentSince Dec 16, 2024 Accepting new patients
Mayfield Clinic Inc Nurse Practitioner CurrentSince Dec 16, 2024 Accepting new patients

Locations

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

55 Pinnacle Point Dr
Miamisburg, OH 45342
Phone (937) 886-5777

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

9075 Centre Pointe Dr
Ste 200
West Chester, OH 45069

Interoperability endpoints

  • Direct secure messaging: cdearmond@1241.direct.myezyaccess.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1629326657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643398",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452643398",
            "telephone_number": "513-221-1100",
            "fax_number": "513-569-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PINNACLE POINT DR",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453425015",
            "telephone_number": "937-886-5777",
            "fax_number": "937-886-5774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9075 Centre Pointe Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450694886",
            "country_code": "US",
            "telephone_number": "513-221-1100",
            "fax_number": "513-569-5312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEARMOND",
        "first_name": "CHARITY",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-23",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.06773",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.06773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARITY",
            "last_name": "SULFRIDGE",
            "middle_name": "NICHOLE",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.