Telisha Carridine, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN9462189 Issued in FL

Practice address

7687 Vandalay Dr
Jacksonville, FL 32244-8147

Phone

(850) 372-3225

NPI assigned

Nov 18, 2020

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 identifiers 1

Other names 1

• Telisha Nettles Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: tc18@ahh20.onmicrosoft.com

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1073116455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7687 VANDALAY DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322448147",
            "telephone_number": "850-372-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7687 VANDALAY DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322448147",
            "telephone_number": "850-372-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIDINE",
        "first_name": "TELISHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9462189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE NUMBER",
            "identifier": "RN9462189",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TC18@Ahh20.onmicrosoft.com",
            "affiliation": "N",
            "endpointDescription": "Microsoft Azure Information Protection and Exchange  Online Protection",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7687 Vandalay Dr",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322448147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TELISHA",
            "last_name": "NETTLES",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hiram Carrasquillo, M.D.
• William Carrasquillo III, D.C.M.
• Julio Carreno, PA
• Natalie Carreno, APRN
• Cheril Evangelista Carreon Sanchez, P.T.
• Carrie Cragun-Atchison, PHD, LLC
• Cheryl Enderby Carrier, FNP-BC
• Eustachian Koreen Carrier, LCSW
• William L. Carriere, M.D.
• Annalise Galbraith Carrigan, MD

• Home Health Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.