Charlene E Raygada, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

260367 Issued in NY

Practice address

64 Cannon Dr
Holbrook, NY 11741-5219

Phone

(631) 456-0978

Fax

(631) 750-3107

NPI assigned

Jan 23, 2009

Last updated

Jan 23, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1538307939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CANNON DRIVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117415219",
            "telephone_number": "631-456-0978",
            "fax_number": "631-750-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CANNON DR",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117415219",
            "telephone_number": "631-456-0978",
            "fax_number": "631-750-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYGADA",
        "first_name": "CHARLENE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "260367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Registered Nurse in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.