Active NPI
Charmize Dishane Thomas, RN
- Licensed Practical Nurse
- Rochester, NY
National Provider Identifier
1487954970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 273360-1
- Practice address
- 41 Santee St
Rochester, NY 14606-2505 - Phone
- (585) 360-9202
- NPI assigned
- Oct 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 273360-1 | NY | Primary |
Addresses
Primary practice location
41 Santee St
Rochester, NY 14606-2505
Mailing address
145 Weyl St
Rochester, NY 14621-3617
Phone (585) 360-9202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02719473 | Medicaid | NY |
Other names 1
- Charmize Dishane Cook
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 273360-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1487954970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 WEYL ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213617",
"telephone_number": "585-360-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 SANTEE ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146062505",
"telephone_number": "585-360-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "CHARMIZE",
"middle_name": "DISHANE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-29",
"last_updated": "2025-09-11",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "273360-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02719473",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHARMIZE",
"last_name": "COOK",
"middle_name": "DISHANE",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.