Individual provider Active NPI

Charles Robert Dunnahoe, FNP-BC

  • Family Nurse Practitioner
  • Corsicana, TX
National Provider Identifier
1952806101
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137194 Issued in TX
Practice address
106 S Beaton St
Corsicana, TX 75110-5230
Phone
(903) 602-5009
Fax
(903) 602-5039
NPI assigned
Mar 29, 2018
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP137194 TX Primary

Addresses

Primary practice location

106 S Beaton St
Corsicana, TX 75110-5230

Mailing address

106 S Beaton St
Corsicana, TX 75110-5230
Phone (903) 602-5009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HMAoffice@HMAcorsicana.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180730000776 TX Practitioner - Nurse Practitioner 6901166859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

106 S Beaton St
Corsicana, TX 75110-5230
Phone (903) 602-5009

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince May 1, 2020 Accepting new patients
DCS Medical PA CurrentSince May 1, 2020 Accepting new patients
Simple Blessings Pediatrics & Functional Medicine, LLC Family CurrentSince Dec 23, 2024 Accepting new patients

Locations

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

808 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 558-3937

106 S Beaton St
Corsicana, TX 75110
Phone (903) 602-5009

Interoperability endpoints

  • Direct secure messaging: charles.dunnahoe.1@18805.direct.athenahealth.com
  • Direct secure messaging: hmaoffice@hmacorsicana.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1952806101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S BEATON ST",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751105230",
            "telephone_number": "903-602-5009",
            "fax_number": "903-602-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S BEATON ST",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751105230",
            "telephone_number": "903-602-5009",
            "fax_number": "903-602-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNAHOE",
        "first_name": "CHARLES",
        "middle_name": "ROBERT",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HMAoffice@HMAcorsicana.com",
            "affiliation": "N",
            "address_1": "106 S Beaton St",
            "city": "Corsicana",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751105230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

Verify at the official NPI Registry.