Individual provider Active NPI

Charlissa Chineque Ghari, RN

  • General Practice Registered Nurse
  • Cincinnati, OH
National Provider Identifier
1083232292
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN.402183 Issued in OH
Practice address
624 Greenwood Ave
Cincinnati, OH 45229-2002
Phone
(513) 462-2703
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN.402183 OH Primary

Addresses

Primary practice location

624 Greenwood Ave
Cincinnati, OH 45229-2002

Mailing address

624 Greenwood Ave
Cincinnati, OH 45229-2002
Phone (513) 462-2703

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.402183OHMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1083232292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 GREENWOOD AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292002",
            "telephone_number": "513-462-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 GREENWOOD AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292002",
            "telephone_number": "513-462-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHARI",
        "first_name": "CHARLISSA",
        "middle_name": "CHINEQUE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "RN.402183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.