Individual provider Active NPI

Charlotte Karen Jeans, PH.D.

  • Critical Care Medicine Registered Nurse
  • Washington, DC
National Provider Identifier
1841597937
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
27800 Issued in AR
Practice address
810 Vermont Ave NW # 12
Washington, DC 20420-0001
Phone
(202) 443-5706
NPI assigned
Feb 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 27800 AR Primary

Addresses

Primary practice location

810 Vermont Ave NW # 12
Washington, DC 20420-0001

Mailing address

41 Willow Dr
Cabot, AR 72023-3842
Phone (501) 993-1791

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 Philosophy

State licenses

LicenseStateTypeSpecialty
27800ARMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1841597937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WILLOW DR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233842",
            "telephone_number": "501-993-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 VERMONT AVE NW # 12",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "204200001",
            "telephone_number": "202-443-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANS",
        "first_name": "CHARLOTTE",
        "middle_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AR",
            "license": "27800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 25, 2011; 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.