Individual provider Active NPI

Charlotte Zuniga, M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1841292364
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L4185 Issued in TX
Practice address
3200 Southwest Fwy Ste 2100
Houston, TX 77027-7525
Phone
(833) 208-7770
Fax
(833) 464-3584
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME166330 FL
Pediatrics Physician 208000000X L4185 TX Primary

Addresses

Primary practice location

3200 Southwest Fwy Ste 2100
Houston, TX 77027-7525

Mailing address

220 Athens Way Ste 240
Nashville, TN 37228-1311
Phone (833) 208-7770

Other practice location 1

3109 W Dr Martin Luther King Jr Blvd Ste 350
Tampa, FL 33607-6208
Phone (833) 208-7770

Other identifiers 2

IdentifierTypeStateIssuer
120962900MedicaidFL
1841292364MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address charlotte.zuniga.2@27760.direct.athenahealth.com Direct
Direct Messaging Address charlotte.zuniga.1@27760.direct.athenahealth.com Direct

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME166330FLMDPediatrics Physician
L4185TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modyfi MD PLLC Pediatrics Current Accepting new patients
TCH Pediatric Associates, Inc Pediatrics Past Accepting new patients
Imagine Pediatrics PLLC Pediatrics Past Accepting new patients
Imagine Pediatrics of Florida LLC Pediatrics PastSince Feb 11, 2024 Accepting new patients
TCH Pediatric Associates, Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charlotte.zuniga.1@27760.direct.athenahealth.com
  • Direct secure messaging: charlotte.zuniga.2@27760.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27760/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1841292364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ATHENS WAY STE 240",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281311",
            "telephone_number": "833-208-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SOUTHWEST FWY STE 2100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277525",
            "telephone_number": "833-208-7770",
            "fax_number": "833-464-3584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3109 W Dr Martin Luther King Jr Blvd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076208",
            "country_code": "US",
            "telephone_number": "833-208-7770",
            "fax_number": "833-450-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUNIGA",
        "first_name": "CHARLOTTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME166330",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L4185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120962900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841292364",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charlotte.zuniga.2@27760.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Other",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3109 W Dr Martin Luther King Jr Blvd Ste 350",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336076208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charlotte.zuniga.1@27760.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Other",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3200 Southwest Fwy Ste 2100",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770277525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.