Individual provider Active NPI

Natacha Marcellus Charles, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1629570486
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
528562 Issued in NY
Practice address
1028 New York Ave Apt A1
Brooklyn, NY 11203-3825
Phone
(718) 730-5699
NPI assigned
Mar 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 528562 NY Primary

Addresses

Primary practice location

1028 New York Ave Apt A1
Brooklyn, NY 11203-3825

Mailing address

1028 New York Ave Apt A1
Brooklyn, NY 11203-3825
Phone (718) 730-5699

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
528562NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: natachacharles@cayugacenters.medentdirect.com
  • Direct secure messaging: natacha.charles.1@24989.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1629570486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 NEW YORK AVE APT A1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033825",
            "telephone_number": "718-730-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 NEW YORK AVE APT A1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033825",
            "telephone_number": "718-730-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "NATACHA",
        "middle_name": "MARCELLUS",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "528562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.