Active NPI
Sandra E. Charles, APRN
- Family Nurse Practitioner
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 00000
- Practice address
- 1354 Chapel St
New Haven, CT 06511-4420 - Phone
- (203) 867-8300
- NPI assigned
- Oct 24, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 00000 | CT | Primary |
Addresses
Primary practice location
1354 Chapel St
New Haven, CT 06511-4420
Mailing address
6 Pearl PL
Stratford, CT 06614-2035
Phone (203) 543-3743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
85 Barnes Rd
Suite 201
Wallingford, CT 06492-1832
Phone (203) 626-5550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8664 | CT | MD | Social Worker |
| 00000 | CT | MD | Medical Physician Assistant |
| RN2263627 | MA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Robinson PA, LLC | Current | Accepting new patients |
Locations
175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452
85 Barnes Rd
Ste 201
Wallingford, CT 06492
Phone (203) 626-5550
155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HBHFCA/Endpoint/HBHFCA
Organizations & group practices 2
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.
-
- Interventional Pain Medicine Physician
- Wallingford, CT
- NPI 1275804189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1417590100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 PEARL PL",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066142035",
"telephone_number": "203-543-3743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1354 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114420",
"telephone_number": "203-867-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "SANDRA",
"middle_name": "E.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-24",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "00000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.