Jakeirra Charles

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

26NP06764500 Issued in NJ

Practice address

464 Colonial Rd
Bellmawr, NJ 08031-1942

Phone

(609) 851-8046

NPI assigned

Apr 7, 2023

Last updated

Apr 7, 2023By the provider in NPPES

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

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": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1689369373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 COLONIAL RD",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080311942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 COLONIAL RD",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080311942",
            "telephone_number": "609-851-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "JAKEIRRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP06764500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bellmawr Eye Care, LLC
• Bellmawr Volunteer Ambulance
• Borough of Bellmawr
• Kyle Burke, PSY.D
• William Joseph Ceraso, O.D.
• Joan Marie Cirbus, O.D.
• Come & Go Transportation
• Concentra Health Services, Inc.
• Ashley Costa, MOTR/L
• Athena Deangelis, ATC

• Licensed Practical Nurse in Bellmawr, NJ
• Providers in Bellmawr, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.