Charlotte Agbakla Tamatey, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

297380 Issued in NY

Practice address

29 Johnson Ave
Wheatley Heights, NY 11798-2505

Phone

(631) 790-8827

NPI assigned

Mar 24, 2010

Last updated

Apr 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1134443807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ELGAR PL APT 30J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755048",
            "telephone_number": "347-863-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 JOHNSON AVE",
            "city": "WHEATLEY HEIGHTS",
            "state": "NY",
            "postal_code": "117982505",
            "telephone_number": "631-790-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBAKLA TAMATEY",
        "first_name": "CHARLOTTE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "297380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acorn NP in Adult Health Services PLLC
• Alcimene Marie Alcide
• Carni Vanessa Alvarado, RN
• Saloni Anand, M.D.
• Al D. Anson III, M.S.,OTR,P.C.
• Craig Blenman

• Licensed Practical Nurse in Wheatley Heights, NY
• Providers in Wheatley Heights, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.