Individual provider Active NPI

Charity Ranee Pawlak, RN

  • Registered Nurse
  • Perrysburg, NY
National Provider Identifier
1821224155
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
583728 Issued in NY
Practice address
10714 North Rd
Perrysburg, NY 14129-9746
Phone
(716) 532-1049
Fax
(716) 532-0679
NPI assigned
Jun 1, 2009
Last updated
Jun 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 583728 NY Primary

Addresses

Primary practice location

10714 North Rd
Perrysburg, NY 14129-9746

Mailing address

10714 North Rd
Perrysburg, NY 14129-9746
Phone (716) 532-1049

Other names 1

  • Charity Ranee Mason Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
583728NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office Past Accepting new patients
State of New York Comptrollers Office Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1821224155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10714 NORTH RD",
            "city": "PERRYSBURG",
            "state": "NY",
            "postal_code": "141299746",
            "telephone_number": "716-532-1049",
            "fax_number": "716-532-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10714 NORTH RD",
            "city": "PERRYSBURG",
            "state": "NY",
            "postal_code": "141299746",
            "telephone_number": "716-532-1049",
            "fax_number": "716-532-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLAK",
        "first_name": "CHARITY",
        "middle_name": "RANEE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "583728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARITY",
            "last_name": "MASON",
            "middle_name": "RANEE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Perrysburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.