Active NPI
Charita Leeanne Daugherty, STNA
- Nurse's Aide
- Heath, OH
National Provider Identifier
1669792016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 374494460195
- Practice address
- 1100 Thornwood Dr
Lot 78
Heath, OH 43056-9500 - Phone
- (740) 281-0028
- Fax
- (740) 281-0028
- NPI assigned
- Jun 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 374494460195 | OH | Primary |
Addresses
Primary practice location
1100 Thornwood Dr
Lot 78
Heath, OH 43056-9500
Mailing address
1100 Thornwood Dr
Lot 78
Heath, OH 43056-9500
Phone (740) 281-0028
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
| License | State | Type | Specialty |
|---|---|---|---|
| 374494460195 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275955200000",
"number": "1669792016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 THORNWOOD DR",
"address_2": "LOT 78",
"city": "HEATH",
"state": "OH",
"postal_code": "430569500",
"telephone_number": "740-281-0028",
"fax_number": "740-281-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 THORNWOOD DR",
"address_2": "LOT 78",
"city": "HEATH",
"state": "OH",
"postal_code": "430569500",
"telephone_number": "740-281-0028",
"fax_number": "740-281-0028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUGHERTY",
"first_name": "CHARITA",
"middle_name": "LEEANNE",
"credential": "STNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-08",
"last_updated": "2010-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "374494460195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Heath, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.