Individual provider Active NPI

Charlotte Purdy, B.S.N., R.N.

  • Ambulatory Care Registered Nurse
  • Washington, DC
National Provider Identifier
1760458046
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
075496 Issued in CT
Practice address
2100 2ND Street
RM 5314 , Uscg HQ, Comdt (CG-1122)
Washington, DC 20593
Phone
(860) 444-8402
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 075496 CT Primary

Addresses

Primary practice location

2100 2ND Street
RM 5314 , Uscg HQ, Comdt (CG-1122)
Washington, DC 20593

Mailing address

6 Joshua Valley Rd
East Lyme, CT 06333-1159
Phone (860) 691-1247

Other names 1

  • Charlotte Sigrid Johnson Former name

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
075496CTMDAmbulatory Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Uscg Academy Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1760458046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JOSHUA VALLEY RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331159",
            "telephone_number": "860-691-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 2ND STREET",
            "address_2": "RM 5314 , USCG HQ, COMDT (CG-1122)",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20593",
            "telephone_number": "860-444-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "CHARLOTTE",
        "credential": "B.S.N., R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CT",
            "license": "075496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "JOHNSON",
            "middle_name": "SIGRID",
            "credential": "B.S.N.,R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.