Individual provider Active NPI

Memite G Charlemagne, RN

  • Registered Nurse
  • Royal Palm Beach, FL
National Provider Identifier
1003369786
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN 9338783 Issued in FL
Practice address
184 Berenger Walk
Royal Palm Beach, FL 33414
Phone
(561) 294-6563
Fax
(561) 855-4778
NPI assigned
Jul 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 9338783 FL Primary

Addresses

Primary practice location

184 Berenger Walk
Royal Palm Beach, FL 33414

Mailing address

184 Berenger Walk
Royal Palm Beach, FL 33414-4345
Phone (561) 294-6563

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 9338783FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1003369786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 BERENGER WALK",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144345",
            "telephone_number": "561-294-6563",
            "fax_number": "561-885-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 BERENGER WALK",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-294-6563",
            "fax_number": "561-855-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLEMAGNE",
        "first_name": "MEMITE",
        "middle_name": "G",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 9338783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.