Carmen N Charleston, A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

930 Ticonderoga Drive
Sunnyvale, CA 94087

Phone

(360) 671-5952

NPI assigned

Dec 13, 2010

Last updated

Dec 13, 2010By the provider in NPPES

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

Other names 1

• Carmen N Regan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1043513047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 TICONDEROGA DRIVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "94087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 TICONDEROGA DRIVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "94087",
            "telephone_number": "360-671-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLESTON",
        "first_name": "CARMEN",
        "middle_name": "N",
        "credential": "A.T.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "REGAN",
            "middle_name": "N",
            "credential": "A.T.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick Pei Chang, M.D.
• Pauling Chang, MD
• Shiow-Huey Chang, R.N.
• Steve H Chang, DDS
• Woody Chang
• Winnifred Chau
• Josephine Cheah, DPT
• Maaike Ping Hwei Cheah, LMFT
• Phui Ling Cheah
• Chen Medical Clinic

• Athletic Trainer in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.