Active NPI
Charity Nichole Dearmond
- Nurse Practitioner
- Miamisburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.06773
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
Practice addresses (Care Compare)
55 Pinnacle Point Dr
Miamisburg, OH 45342-5015
Phone (513) 221-1100
Hospital & facility affiliations
- Miami Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.06773 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayfield Clinic Inc | Current | Accepting new patients | |
| Mayfield Clinic Inc | Nurse Practitioner | Current | 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
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Miamisburg, OH
- NPI 1780423467
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.