Charon Kingsley

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1522202 Issued in FL

Practice address

5350 SW 130TH Ave
1660 Northwest 7TH Court
Miramar, FL 33027-5410

Phone

(305) 200-1778

NPI assigned

Jun 18, 2009

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1578790366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350SW130THAVE.,33027",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 SW 130TH AVE",
            "address_2": "1660 NORTHWEST 7TH COURT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275410",
            "telephone_number": "305-200-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "CHARON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1522202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Kim, M.D.
• Su Bin Kim, MD
• Kimberly Sharpe, LMHC Inc
• Cynthia Lynn King, MD
• James Allen King, MD
• Konrad Andrew Theodore Kirlew, M.D.
• Kismet Cottage, LLC
• Kita Corp
• Matthew T Kleese, DO
• Atsou Klougan

• All providers in Miramar, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.