Michelle Kavcak Charles, RN, MPH

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN083261 Issued in AZ

Practice address

4612 N 28TH St
Phoenix, AZ 85016-4931

Phone

(602) 764-7113

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376760355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 E WELDON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185227",
            "telephone_number": "602-956-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 N 28TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164931",
            "telephone_number": "602-764-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "MICHELLE",
        "middle_name": "KAVCAK",
        "name_prefix": "Mrs.",
        "credential": "RN, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN083261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "591124",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles T Williams MD PC
• Amanda L Charles, PHARMD.
• Joseph C Charles, M.D.
• Leann Charles, LPC
• Luther Charles, PA, MD
• Monica Renee Charles, RN
• John Stewart Charleson, PH.D.
• Jeanne Charleton
• Ericka Charley, MD
• Beverly R. Charman, N.N.P.

• School Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.