Individual provider Active NPI

Charlita Perdue, FNP

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1699519702
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R217652 Issued in MD
Practice address
7809 Wisconsin Ave
Bethesda, MD 20814-3523
Phone
(240) 548-7587
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R217652 MD Primary

Addresses

Primary practice location

7809 Wisconsin Ave
Bethesda, MD 20814-3523

Mailing address

1924 Savannah Ter SE Apt C
Washington, DC 20020-2148
Phone (240) 548-7587

Other practice location 1

6323 Georgia Ave NW
Washington, DC 20011-1101
Phone (202) 876-7063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20250203001104 DC Practitioner - Nurse Practitioner 4183153356 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
J Richard Lilly MD Abfp CHTDGroup PAC ID 6103896386, 9 clinicians

Practice addresses (Care Compare)

5711 Sarvis Ave
Suite 302
Riverdale, MD 20737-1394
Phone (301) 927-7800

6323 Georgia Ave NW
Suite 104
Washington, DC 20011-1137
Phone (202) 876-7063

Hospital & facility affiliations

  • Berhan Home Health Care Agency Inc Home health agency, Washington, DC, CCN 097053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R217652MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Wellness LLC CurrentSince Dec 1, 2024 Accepting new patients
Affinity Health Family CurrentSince Feb 11, 2025 Accepting new patients
Rooted Healthcare, LLC Past Accepting new patients

Locations

6323 Georgia Ave NW
Ste 104
Washington, DC 20011
Phone (202) 683-0268

Interoperability endpoints

  • Direct secure messaging: charlita.perdue.2@13869.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17816/brand/1/csg/1/fhir/r4

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 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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1699519702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 SAVANNAH TER SE APT C",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200202148",
            "telephone_number": "240-548-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7809 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143523",
            "telephone_number": "240-548-7587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6323 Georgia Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200111101",
            "country_code": "US",
            "telephone_number": "202-876-7063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "CHARLITA",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R217652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.