Individual provider Active NPI

Caitlin Christine Charette-Zalewski, MS, CPNP

  • Pediatric Nurse Practitioner
  • Jasper, FL
National Provider Identifier
1104585769
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11014463 Issued in FL
Practice address
1117 NW Highway 41
Suite B
Jasper, FL 32052
Phone
(386) 792-3864
NPI assigned
Dec 10, 2021
Last updated
Dec 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN11014463 FL Primary

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

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
Certified Pediatric Nurse Practitioner, Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
APRN11014463FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC. Current Accepting new patients
North Florida Pediatrics, PA PastSince Dec 12, 2021 Accepting new patients
Children First Pediatrics Inc PastSince Oct 13, 2019 Accepting new patients

Locations

6 Blackstone Valley Pl
Ste 500
Lincoln, RI 02865
Phone (401) 334-1200

Interoperability endpoints

  • Direct secure messaging: ccharettezalewski@direct.carene.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABDGAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1104585769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MANOLA ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010204465",
            "telephone_number": "413-244-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 NW HIGHWAY 41",
            "address_2": "SUITE B",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "32052",
            "telephone_number": "386-792-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARETTE-ZALEWSKI",
        "first_name": "CAITLIN",
        "middle_name": "CHRISTINE",
        "credential": "MS, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11014463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.