Carise Elizabeth Charles, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN334333 Issued in CA

Practice address

3102 East Highland Ave
Patton, CA 92369

Phone

(909) 425-7844

Fax

(909) 862-0718

NPI assigned

Jun 7, 2006

Last updated

Apr 3, 2008By 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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1245270206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6841 GALA ST",
            "address_2": "HIGHLAND",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923462766",
            "telephone_number": "916-654-2431",
            "fax_number": "916-654-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 EAST HIGHLAND AVE",
            "city": "PATTON",
            "state": "CA",
            "postal_code": "92369",
            "telephone_number": "909-425-7844",
            "fax_number": "909-862-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "CARISE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "RN334333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elba I Campos, PSY.D.
• Lorna Carlin, MD
• Edward P Case, MD
• Mireille C Castan, PSY.D.
• Wendy Chan, PSY.D.
• Elsie Cheng
• Rosemary Santos Chequer, M.D.
• Johnnie CHI, D.O.
• Yok H Choi, PSY.D.
• Beth Lily Chung, M.D.

• Family Nurse Practitioner in Patton, CA
• Providers in Patton, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.