Charmaine Lasha Adair

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN11009682 Issued in FL

Practice address

1601 S Martin Luther King Jr Blvd
Tallahassee, FL 32307-3105

Phone

(850) 599-3000

NPI assigned

Nov 5, 2020

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

• Charmaine Lasha Houston Former 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": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1881295780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 SERA BELLA WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347449338",
            "telephone_number": "407-973-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S MARTIN LUTHER KING JR BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323073105",
            "telephone_number": "850-599-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAIR",
        "first_name": "CHARMAINE",
        "middle_name": "LASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11009682",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11009682",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11009682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARMAINE",
            "last_name": "HOUSTON",
            "middle_name": "LASHA",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Carla Denise Adams
• Kennedi Brooke Adams
• Marina Adams Anne Cary Adams
• Michelle Bryant Adams, M.S.

• Primary Care Nurse Practitioner in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.