Active NPI
Charon Denice De la Pena
- Nurse's Aide
- Ocala, FL
National Provider Identifier
1033350012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA 89244
- Practice address
- 937 SW 19TH Avenue Rd
Ocala, FL 34471-2046 - Phone
- (352) 867-1226
- NPI assigned
- Mar 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA 89244 | FL | Primary |
Addresses
Primary practice location
937 SW 19TH Avenue Rd
Ocala, FL 34471-2046
Mailing address
12861 SW 38TH Cir
Ocala, FL 34473-2718
Phone (352) 307-3908
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 |
|---|---|---|---|
| CNA 89244 | FL | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237507200000",
"number": "1033350012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12861 SW 38TH CIR",
"city": "OCALA",
"state": "FL",
"postal_code": "344732718",
"telephone_number": "352-307-3908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 SW 19TH AVENUE RD",
"city": "OCALA",
"state": "FL",
"postal_code": "344712046",
"telephone_number": "352-867-1226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA PENA",
"first_name": "CHARON",
"middle_name": "DENICE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-20",
"last_updated": "2009-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "CNA 89244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.