Caitlin Christine Charette-Zalewski, MS, CPNP
Individual provider Active NPI Pediatric Nurse Practitioner · Jasper, FL
NPI 1104585769 · NPPES record last updated Dec 10, 2021
Key facts
- NPI
- 1104585769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- APRN11014463 (FL)
- Practice address
- 1117 NW Highway 41
Suite B
Jasper, FL 32052 - Phone
- (386) 792-3864
- NPI assigned
- Dec 10, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Pediatric Nurse Practitioner, Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11014463 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC. | Current | Accepting new patients | |
| Children First Pediatrics Inc | Past |
Accepting new patients | |
| North Florida Pediatrics, PA | Past |
Accepting new patients |
Locations
6 Blackstone Valley Pl
Ste 500
Lincoln, RI 02865
Phone (401) 334-1200
Interoperability endpoints
- ccharettezalewski@direct.carene.org
- https://fhir4.healow.com/fhir/r4/ABDGAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN11014463 | FL | Yes |
Addresses
Primary practice location
1117 NW Highway 41
Suite B
Jasper, FL 32052
Mailing address
22 Manola St
Chicopee, MA 01020-4465
Phone (413) 244-2725
Other providers in Jasper, FL
- Irvin Carlyle Bembry
- Owen J Boales
- Betty Manning Bridges
- Dorothy Lorraine Buffington
- Cason Hall Burnett
- Cheek & Scott Drugs Inc
- Britney Lynn Cheshire
- Claudettes Helping Hands and Caring Hearts LLC
- Collins Transportation
- Karine Hayme Coronel Sanchez
All providers in Jasper, FL · Pediatric Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.