Individual provider Active NPI

Charlotte Dunnwyckoff, RN

  • Registered Nurse
  • Huntsville, AL
National Provider Identifier
1760060438
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1-157410 Issued in AL
Practice address
611 Eastbrook Dr NW
Huntsville, AL 35811-1708
Phone
(256) 585-7671
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-157410 AL Primary

Addresses

Primary practice location

611 Eastbrook Dr NW
Huntsville, AL 35811-1708

Mailing address

611 Eastbrook Dr NW
Huntsville, AL 35811-1708
Phone (256) 585-7671

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Huntsville

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-157410ALMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1760060438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 EASTBROOK DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358111708",
            "telephone_number": "256-585-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 EASTBROOK DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358111708",
            "telephone_number": "256-585-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNWYCKOFF",
        "first_name": "CHARLOTTE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-157410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Huntsville",
            "affiliation": "N",
            "address_1": "611 Eastbrook Dr NW",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358111708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.