Terri Alexander Charlock

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

5314 Barefoot Path
Kissimmee, FL 34746

Phone

(407) 731-4780

NPI assigned

Mar 19, 2018

Last updated

Jun 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1538663240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 BAREFOOT PATH",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464809",
            "telephone_number": "407-731-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 BAREFOOT PATH",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34746",
            "telephone_number": "407-731-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLOCK",
        "first_name": "TERRI",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles D Bisogno DO PA
• Cheryl Charles-Ortiz, LMHC
• Jacqueline Charles
• Karlene L Charles, RPH
• Charlies Angels Home Care Solutions LLC
• Charming Ones, Inc
• Vivian Charneco, M.D.
• Marja Elvira Chateloin Medina, APRN
• Candaece Chatman, MS, RMHCI
• Sajid Chaudhary, MD

• Student in an Organized Health Care Education/Training Program in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.