Maxine Paulraj-Charles, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

COA.13561-NP Issued in OH

Practice address

26908 Detroit Rd
Ste. 200
Westlake, OH 44145-2398

Phone

(440) 250-8660

Fax

(440) 250-8639

NPI assigned

Oct 10, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1679825947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22665 BARD AVE",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262908",
            "telephone_number": "440-777-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26908 DETROIT RD",
            "address_2": "STE. 200",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452398",
            "telephone_number": "440-250-8660",
            "fax_number": "440-250-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULRAJ-CHARLES",
        "first_name": "MAXINE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.13561-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075883",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen M Patterson, NP-C
• Laycie Charmayne Patterson, LPC
• Linda Ann Patterson, MD
• Cassandra Marie Paul
• Michelle M Paul, M.ED, LPCC
• Charles H Pavluk, MD
• Tessa Pawluk, PA-C
• Elizabeth Payne
• Pdi Toledo, LLC
• Peaceful Life LLC

• Adult Health Nurse Practitioner in Westlake, OH
• Providers in Westlake, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.