Bashira Charles, PHD, RN, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP008021 Issued in PA

Practice address

440 North Broad Street
Student Health Services
Philadelphia, PA 10130-4015

Phone

(215) 400-5704

Fax

(215) 400-4173

NPI assigned

Apr 10, 2018

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

Credentials

Doctor of Philosophy, Registered Nurse

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 and National Provider Directory roles.

• Philadelphia Area School District

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1598356206
  NPD (past)

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1861999542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 LANDIS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243011",
            "telephone_number": "215-225-0325",
            "fax_number": "215-400-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 NORTH BROAD STREET",
            "address_2": "STUDENT HEALTH SERVICES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "101304015",
            "telephone_number": "215-400-5704",
            "fax_number": "215-400-4173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "738 Landis St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191243011",
            "country_code": "US",
            "telephone_number": "215-225-0325",
            "fax_number": "215-400-4173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "BASHIRA",
        "name_prefix": "Dr.",
        "credential": "PHD, RN, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP008021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles H. Waples, M.D., P.C.
• Charles Homecare and Nursing Service
• Charles Wisniewski Family Psychiatry
• Nicholle R Charles-Pierre, LPC
• Allison Charles, M.S.
• Brittany Lashonne Charles
• Jeremy Y Charles, MD
• Jessica Charles, DPM
• Julie Lovinka Charles
• Lynn-Marie N Charles, CRNP

• Pediatric Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.