Individual provider Active NPI

Charlotte L Dhudshia, APN

  • Neonatal Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1942310420
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
APN000806 Issued in NV
Practice address
3196 S Maryland Pkwy
Suite 217
Las Vegas, NV 89109-2305
Phone
(702) 733-4944
Fax
(702) 733-6507
NPI assigned
Aug 30, 2006
Last updated
Apr 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X APN000806 NV
Neonatal Nurse Practitioner 363LN0000X APN000806 NV Primary

Addresses

Primary practice location

3196 S Maryland Pkwy
Suite 217
Las Vegas, NV 89109-2305

Mailing address

288 Ivywood CT
Las Vegas, NV 89183-4559
Phone (702) 565-0545

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120521000346 CA Order and Referring Only - Nurse Practitioner 8820158934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1942310420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 IVYWOOD CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891834559",
            "telephone_number": "702-565-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY",
            "address_2": "SUITE 217",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092305",
            "telephone_number": "702-733-4944",
            "fax_number": "702-733-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHUDSHIA",
        "first_name": "CHARLOTTE",
        "middle_name": "L",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "NV",
            "license": "APN000806",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NV",
            "license": "APN000806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.