Active NPI
Charisse Middleton
- Nurse's Aide
- Raleigh, NC
National Provider Identifier
1366762981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 103854
- Practice address
- 1022 Sandfiddler Dr
Apt. 102
Raleigh, NC 27604-8638 - Phone
- (919) 217-3541
- NPI assigned
- Jun 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 103854 | NC | |
| Home Health Aide | 374U00000X | 103854 | NC | |
| Homemaker | 376J00000X | 103854 | NC | |
| Nurse's Aide | 376K00000X | 103854 | NC | Primary |
Addresses
Primary practice location
1022 Sandfiddler Dr
Apt. 102
Raleigh, NC 27604-8638
Mailing address
1022 Sandfiddler Dr
Apt. 102
Raleigh, NC 27604-8638
Phone (919) 217-3541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103854 | NC | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275696000000",
"number": "1366762981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 SANDFIDDLER DR",
"address_2": "APT. 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276048638",
"telephone_number": "919-217-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 SANDFIDDLER DR",
"address_2": "APT. 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276048638",
"telephone_number": "919-217-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "CHARISSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-05",
"last_updated": "2010-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NC",
"license": "103854",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NC",
"license": "103854",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NC",
"license": "103854",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NC",
"license": "103854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.