Charlene Marie Edman, RN, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95030845 Issued in CA

Practice address

2 Koret Way
San Francisco, CA 94143-2218

Phone

(925) 212-4244

NPI assigned

Jul 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

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.

• East Bay AIDS Center Medical Group Inc

  • Infectious Disease Physician
  • Oakland, CA
  • NPI 1689600314
  Medicare reassignment NPD

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1851137814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 30TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093201",
            "telephone_number": "925-212-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KORET WAY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432218",
            "telephone_number": "925-212-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMAN",
        "first_name": "CHARLENE",
        "middle_name": "MARIE",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95030845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgewood Center for Children and Families
• Edgewood Center for Children and Families
• Edgewood Center for Children and Families
• Edimera Health
• Edith Nunez Acupuncture
• Thomas Edmiston, MB BCHIR
• Eugene Edmond
• Edmondbedrossian DDS, Inc.
• Elizabeth Meg Edmonds
• Shaylee Edmonds

• Adult Health Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.