Marie Jeannette Charles, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2100962 Issued in FL

Practice address

9066 SW 73Rd CT
Unit 1508
Miami, FL 33156-2969

Phone

(305) 382-8457

Fax

(305) 382-8457

NPI assigned

Jul 10, 2010

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

• University of Miami

  • Hepatology Physician
  • Miami, FL
  • NPI 1013967827
  Medicare reassignment NPD
• University of Miami

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Miami, FL
  • NPI 1114177797
  NPD
• University of Miami

  • Internal Medicine Physician
  • Miami Beach, FL
  • NPI 1124768627
  NPD

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278720000000",
    "number": "1144532888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9066 SW 73RD CT",
            "address_2": "UNIT 1508",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562969",
            "telephone_number": "305-382-8457",
            "fax_number": "305-382-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9066 SW 73RD CT",
            "address_2": "UNIT 1508",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562969",
            "telephone_number": "305-382-8457",
            "fax_number": "305-382-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "MARIE JEANNETTE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "2100962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153825",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Charles, PAC
• Josya-Gony Charles, M.D.
• Jude Hassan Charles, MD
• Khadijah Charles, MSW
• Lakisha Anitra Charles, MSW
• Marisela Charles, APRN
• Martine Charles
• Ralph Bradeley Charles, LDO
• Rose Charles
• Sherley Charles, FNP-BC

• Adult Health Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.