Charmaine Sherese Boose

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

306046-031 Issued in WI

Practice address

10437 W Jonen St
Milwaukee, WI 53224-5126

Phone

(414) 461-5387

NPI assigned

Nov 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Charmaine Sherese Boose Professional 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": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1821242884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10437 W JONEN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532245126",
            "telephone_number": "414-461-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10437 W JONEN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532245126",
            "telephone_number": "414-461-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOSE",
        "first_name": "CHARMAINE",
        "middle_name": "SHERESE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "306046-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARMAINE",
            "last_name": "BOOSE",
            "middle_name": "SHERESE",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael H. Bonner, M.D.
• Theodore Bonner, MD
• Danielle Bonnett, PA-C
• Noor Bachhuber Bontz, ACNPC-AG
• Diane S Book, MD
• Katherine Elizabeth Bopp, MD
• Jennifer A Borch
• Heather Borchardt, PT
• Jaclyn Menzel Borchardt, M.S. CCC-SLP
• Nicole Borden, NP

• Licensed Practical Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.