Active NPI
Sheila Charles
- Primary Care Nurse Practitioner
- East Meadow, NY
National Provider Identifier
1649523366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- F308335
- Practice address
- 652 Hoover St
East Meadow, NY 11554-5429 - Phone
- (646) 472-9986
- NPI assigned
- Oct 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | F308335 | NY | Primary |
Addresses
Primary practice location
652 Hoover St
East Meadow, NY 11554-5429
Mailing address
16347 130TH Ave
Apt 3B
Jamaica, NY 11434-3081
Phone (646) 472-9986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649523366 | Medicaid | NY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F308335 | NY | MD | Primary Care Nurse Practitioner |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- scharles562703@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525824000000",
"number": "1649523366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16347 130TH AVE",
"address_2": "APT 3B",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114343081",
"telephone_number": "646-472-9986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 HOOVER ST",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115545429",
"telephone_number": "646-472-9986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "SHEILA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-18",
"last_updated": "2018-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NY",
"license": "F308335",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649523366",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.