Charlotte Slattum Clynes, LICENSED MASSAGE THE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN3266662 Issued in FL

Practice address

1255 Thelma St
Palm City, FL 34990

Phone

(772) 220-4115

Fax

(772) 220-4115

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Charlotte Slattum Former name

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679657373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 SE RUNNING OAK CIR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34997",
            "telephone_number": "772-220-4115",
            "fax_number": "772-220-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 THELMA ST",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "34990",
            "telephone_number": "772-220-4115",
            "fax_number": "772-220-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYNES",
        "first_name": "CHARLOTTE",
        "middle_name": "SLATTUM",
        "credential": "LICENSED MASSAGE THE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN3266662",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA4695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "SLATTUM",
            "credential": "LICENSED MASSAGE THE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Clark
• Jeanette Doyle Claus, MS, CCC/SLP
• Clearview Ultrasound LLC
• Clinical Care Solutions LLC
• Candra Nycole Clyne, RBT
• Coastal Care Corporation
• Zathalithia Coke
• Collective Aesthetics & Regenerative Medicine PLLC
• Wykesha Collins
• Stalacia Collymore

• Registered Nurse in Palm City, FL
• Providers in Palm City, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.