Charles Bernard Von Presley, CHAPLAIN, STUDENT

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

6497 Parkland Dr Ste D
Sarasota, FL 34243-4097

Phone

(914) 486-2612

NPI assigned

Aug 18, 2020

Last updated

Aug 21, 2020By the provider in NPPES

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

Other names 1

• Charles E Barnes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1275145526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 CATTLEMEN RD UNIT 2102",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326293",
            "telephone_number": "914-486-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6497 PARKLAND DR STE D",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342434097",
            "telephone_number": "914-486-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON PRESLEY",
        "first_name": "CHARLES",
        "middle_name": "BERNARD",
        "credential": "CHAPLAIN, STUDENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "BARNES",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Volpe, PA-C
• Sarahdia Voltaire-Taylor, P.T.
• Volusia Medical Center LLC
• Traci Lynn Volz, B.S.
• Amanda Von Borstel, PHARMD
• Nancy Elizabeth Von Waldner, PA-C
• Mary L Vonwaldner, MD
• Ann E Voorhees, LCSW
• Leon Voorwalt, MD
• Mitchell Douglas Vorce, DO

• Counselor in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.