Active NPI
Charlene Brown
- Women's Health Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1851453633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- SP 001665 G
- Practice address
- 1720 South Broad Street
City of Philadelphia Health Department
Philadelphia, PA 19145 - Phone
- (215) 685-1811
- Fax
- (215) 683-1815
- NPI assigned
- Dec 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | SP 001665 G | PA | Primary |
Addresses
Primary practice location
1720 South Broad Street
City of Philadelphia Health Department
Philadelphia, PA 19145
Mailing address
1445 70TH Ave
B-1
Philadelphia, PA 19126-1661
Phone (215) 924-9852
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 001665 G | PA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Philadelphia | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Phila Health Dept Laboratory
- Clinical Medical Laboratory
- Phila, PA
- NPI 1689688798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851453633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 70TH AVE",
"address_2": "B-1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191261661",
"telephone_number": "215-924-9852",
"fax_number": "215-683-1815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 SOUTH BROAD STREET",
"address_2": "CITY OF PHILADELPHIA HEALTH DEPARTMENT",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19145",
"telephone_number": "215-685-1811",
"fax_number": "215-683-1815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CHARLENE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "PA",
"license": "SP 001665 G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.