Charity Brees, NNP-BC

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

854946 Issued in MS

Practice address

4566 South Eason Blvd
Suite 310
Tupelo, MS 38801

Phone

(601) 984-5261

NPI assigned

Feb 21, 2014

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

Other identifiers 1

Other names 1

• Charity Tamboli Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72952

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.

• East Memphis Neonatology Associates P.C

  • Neonatal-Perinatal Medicine Physician
  • Memphis, TN
  • NPI 1659485761
  NPD (past)

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1245655661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 CLINTON CENTER DRIVE",
            "address_2": "CBO-SUITE 4300",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "39056",
            "telephone_number": "601-815-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 SOUTH EASON BLVD",
            "address_2": "SUITE 310",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "601-984-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREES",
        "first_name": "CHARITY",
        "credential": "NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "MS",
            "license": "854946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01150068",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARITY",
            "last_name": "TAMBOLI",
            "credential": "NNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Daniel Lynton Brasfield, M.D.
• William Cary Brawner, M.D.
• Martisa Shondell Braylock, MA
• Breathe LLC
• Mimi Cleveland Breedlove, CRNA
• Ellen Bresee
• Mark Chapin Bresee, MPT, OCS
• Brian Thomas Psy D PLLC
• Alyssa Bridges
• Zachary Bridges, DPT

• Neonatal Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Neonatal Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.