Individual provider Active NPI

Charmaine Whitton, WHNP

  • Women's Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1750055844
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
104006479 Issued in NY
Practice address
38 E 31St St
Brooklyn, NY 11226-4783
Phone
(718) 866-6152
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 104006479 NY Primary

Addresses

Primary practice location

38 E 31St St
Brooklyn, NY 11226-4783

Mailing address

38 E 31St St
Brooklyn, NY 11226-4783
Phone (718) 866-6152

Other names 1

  • Charmaine Whitton Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20231204002654 NY Order and Referring Only - Nurse Practitioner 4688022486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104006479NYMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1750055844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 E 31ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264783",
            "telephone_number": "718-866-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 E 31ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264783",
            "telephone_number": "718-866-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTON",
        "first_name": "CHARMAINE",
        "name_prefix": "Ms.",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "104006479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARMAINE",
            "last_name": "WHITTON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.