Amy Nicole Charles

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

239011 Issued in FL

Practice address

1603 72ND St. CT. East
Palmetto, FL 34221

Phone

(941) 462-0349

NPI assigned

Mar 10, 2017

Last updated

Mar 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Amy Nicole Charles Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Molly's Home Care and Loving

  • Home Health Agency
  • Palmetto, FL
  • NPI 1962936062
  NPD (past) Authorized official

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1821539883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 72ND STREET CT E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342218370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 72ND ST. CT. EAST",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "34221",
            "telephone_number": "941-462-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "239011",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "239011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CHARLES",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "MOLLY'S HOME CARE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Valentino Castro, ED.D
• Sharon Causin, OTRL
• Christin M Caviness, PT,DPT
• Lisa Ceballo
• Zeina Chakar
• Children's Therapy Solutions Inc.
• Jessica Cicero, FNP-BC
• Miriam Cisnero Perez
• Cynthia Marie Clemen-Smith, OTR/L
• Coactiv Physical Therapy LLC

• Nurse's Aide in Palmetto, FL
• Providers in Palmetto, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.