Individual provider Active NPI

Charlene Faye Fluharty, SUPPORT COORDINATOR

  • Case Manager/Care Coordinator
  • Pensacola, FL
National Provider Identifier
1881734770
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1706 Graduate Way
Pensacola, FL 32514-5703
Phone
(850) 332-6644
Fax
(850) 332-6645
NPI assigned
Feb 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X FL Primary

Addresses

Primary practice location

1706 Graduate Way
Pensacola, FL 32514-5703

Mailing address

1706 Graduate Way
Pensacola, FL 32514-5703
Phone (850) 332-6644

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

LicenseStateTypeSpecialty
675484896FLMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881734770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 GRADUATE WAY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145703",
            "telephone_number": "850-332-6644",
            "fax_number": "850-332-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 GRADUATE WAY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145703",
            "telephone_number": "850-332-6644",
            "fax_number": "850-332-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUHARTY",
        "first_name": "CHARLENE",
        "middle_name": "FAYE",
        "credential": "SUPPORT COORDINATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

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.

Verify at the official NPI Registry.