Charisse Armistead, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

305550 Issued in NY

Practice address

205 14 Linden Blve Suite 204
Jamaica, NY 11412

Phone

(718) 528-5493

Fax

(718) 525-4305

NPI assigned

Jun 27, 2011

Last updated

Jun 27, 2011By 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 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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1851687099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 TOMPKINS AVE APT 3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161770",
            "telephone_number": "347-852-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 14 LINDEN BLVE SUITE 204",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11412",
            "telephone_number": "718-528-5493",
            "fax_number": "718-525-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMISTEAD",
        "first_name": "CHARISSE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "305550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.