Carlise Yvette Charlot, COSMETOLOGY

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

CL0219744 Issued in FL

Practice address

1289 Windy Willows Dr
Jacksonville, FL 32225-5957

Phone

(904) 716-9432

NPI assigned

Jan 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1033683552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 WINDY WILLOWS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255957",
            "telephone_number": "904-716-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 WINDY WILLOWS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255957",
            "telephone_number": "904-716-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLOT",
        "first_name": "CARLISE",
        "middle_name": "YVETTE",
        "credential": "COSMETOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "FL",
            "license": "CL0219744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coralie Laroche Charles, PHARM.D
• Erica Charles
• Giovanni Charles, MD
• Melinda Charles
• Tyler William Charles, M. ED.
• Charlotte E Blanding
• Charlotte'S Way Adc Inc.
• Ronald K Charlton, PH.D.
• Victoria Charron, RBT
• Amber Chase, BCCC, CCLC

• Prosthetics Case Management in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Prosthetics Case Management in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.