Charles Lee Stewart, CDL DRIVER

Primary specialty

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

Practice address

6066 Shingle Creek Pkwy Ste 1103
Brooklyn Center, MN 55430-2316

Phone

(612) 298-5324

NPI assigned

Jul 27, 2011

Sex

Male

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

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548548423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6066 SHINGLE CREEK PKWY STE 1103",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302316",
            "telephone_number": "612-298-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6066 SHINGLE CREEK PKWY STE 1103",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302316",
            "telephone_number": "612-298-5324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 3rd St NE",
            "address_2": "202",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554211559",
            "country_code": "US",
            "telephone_number": "763-245-8029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CHARLES",
        "middle_name": "LEE",
        "credential": "CDL DRIVER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starlight Transit LLC
• Jeffrey Scott Stefani, DDS
• Lauren Stennes, M.D.
• Steps for Change
• Symone Renee Stevens
• Issabella Stirzl
• Alayna Gayle Strickland
• Strive Home Care LLC
• Robert Francis Stroncek
• Rachel Kristine Stuewe

• Student in an Organized Health Care Education/Training Program in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Student in an Organized Health Care Education/Training Program in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.