Cherail Winett Ware-Stark, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

5204170 Issued in FL

Practice address

5514 Delight Dr
Fort Pierce, FL 34947-5469

Phone

(413) 333-1359

NPI assigned

Sep 6, 2007

Last updated

Apr 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stark Healthcare Staffing Services, LLC

  • Developmentally Disabled Services Day Training Agency
  • Fort Pierce, FL
  • NPI 1750159331
  NPD Authorized official

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681516800000",
    "number": "1225223845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 DELIGHT DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349475469",
            "telephone_number": "413-333-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 DELIGHT DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349475469",
            "telephone_number": "413-333-1359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3307 Avenue I",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349472333",
            "country_code": "US",
            "telephone_number": "772-616-9601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARE-STARK",
        "first_name": "CHERAIL",
        "middle_name": "WINETT",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2023-04-15",
        "certification_date": "2023-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA 105912",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5204170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bo Wang, M.D.
• Mariam Wanis
• Anna Christine Wantz
• Bryanna Ward
• Tabitha Ward
• Tracey Ann Miller Warren, PA
• Tanovia L. Washington
• Judith Barbara Waska, RN
• Julia Ann Watkins
• Lisa Brook Watts, MSW

• Licensed Practical Nurse in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2023; 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.