Charles Edward Hall, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP.61123714 Issued in WA

Practice address

25611 98TH Ave S Apt G306
Kent, WA 98030-6396

Phone

(408) 772-7327

NPI assigned

Dec 1, 2020

Sex

Male

Sole proprietor

Yes

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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1255936035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25611 98TH AVE S APT G306",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980306396",
            "telephone_number": "408-772-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25611 98TH AVE S APT G306",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980306396",
            "telephone_number": "408-772-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP.61123714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahel Hailemariam
• Donald C. Hainer, D.D.S
• Monica M Haines, DO
• John L Hairtston
• Maiya Marilee Hale, LMHC, MHP, NCC
• Laura Charlene Hall, DNP, FNP
• Hallelujah Afh
• Hallelujah Afh
• Carolyn S Halley, MD
• Merle M. Hamada

• Licensed Practical Nurse in Kent, WA
• Providers in Kent, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.