Walettra Charmese Enoch, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

SP019360 Issued in PA

Practice address

156 William St RM 303
New York, NY 10038-5307

Phone

(888) 803-3370

NPI assigned

Nov 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NY, CT, DE, NJ, GA6 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 6

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Telehealth LLCGroup PAC ID 6608156906, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc Home health agency, Wilmington, DE, CCN 087021
• Accentcare Health of Pennsylvania Home health agency, Bristol, PA, CCN 397472

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Telehealth, LLC

  • General Practice Physician
  • Mount Laurel, NJ
  • NPI 1245600022

  DE, NY, PA

  Medicare reassignment Care Compare group NPD
• Northern Belle Health Network LLC

  • Nurse Practitioner
  • Newark, DE
  • NPI 1407671704

  GA

  Medicare reassignment NPD Authorized official
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  DE

  Medicare reassignment NPD
• Visavis Health Care Medical Group of CT LLC

  • Family Medicine Physician
  • West Hartford, CT
  • NPI 1275225864
  Medicare reassignment NPD
• Visavis Health Care Medical Group of de PA

  • Family Medicine Physician
  • Seaford, DE
  • NPI 1164284048
  Medicare reassignment NPD
• Visavis Health Care Medical Group of Pennsylvania PLLC

  • Family Medicine Physician
  • Wayne, PA
  • NPI 1619688132
  Medicare reassignment NPD
• Love & Life Wellness, LLC.

  • Health Service Clinic/Center
  • Philadelphia, PA
  • NPI 1346937265
  NPD Authorized official
• Love and Life Wellness Spa

  • Medical Specialty Clinic/Center
  • Newark, DE
  • NPI 1235976564
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Wilmington, DE
  • NPI 1245277219
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Newark, DE
  • NPI 1366473969
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • New Castle, DE
  • NPI 1447281043
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Milford, DE
  • NPI 1780810424
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Wilmington, DE
  • NPI 1821029422
  Care Compare affiliation
• Southeastern Health Services of Pennsylvania, LLC

  • Home Health Agency
  • Bristol, PA
  • NPI 1518901610
  Care Compare affiliation

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1669941027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7507 SOCIETY DR",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197031775",
            "telephone_number": "215-397-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WILLIAM ST RM 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385307",
            "telephone_number": "888-803-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOCH",
        "first_name": "WALETTRA",
        "middle_name": "CHARMESE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DE",
            "license": "LP0010478",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "310872",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP019360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912199415",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick C. Ennette
• Ciara Ennis, AGACNP-BC
• Kimberley S Ennis, ANP
• Rebecca Ennis, SLP-CCC
• Ronald D Ennis, MD
• Marisa Enrico
• Amber Enright, PA-C
• Jane Enright, M.S.,CCC-SLP
• Olivia R Enright, PA-C
• Enrique Ergas M D & Thomas Youm M D PC

• Primary Care Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.