Active NPI
Chanel Carrega, RN
- Registered Nurse
- Brooklyn, NY
National Provider Identifier
1891212254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 773603
- Practice address
- 404 Hawthorne St
Brooklyn, NY 11203-1505 - Phone
- (718) 506-5936
- NPI assigned
- Aug 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 773603 | NY | Primary |
| Licensed Practical Nurse | 164W00000X | 315623 | NY |
Addresses
Primary practice location
404 Hawthorne St
Brooklyn, NY 11203-1505
Mailing address
404 Hawthorne St
Brooklyn, NY 11203-1505
Phone (718) 506-5936
Other practice location 1
5818 Beverley Rd
Brooklyn, NY 11203-5412
Phone (718) 506-5936
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 773603 | NY | MD | Registered Nurse |
| 315623 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1891212254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 HAWTHORNE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112031505",
"telephone_number": "718-506-5936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 HAWTHORNE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112031505",
"telephone_number": "718-506-5936"
}
],
"practiceLocations": [
{
"address_1": "5818 Beverley Rd",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112035412",
"country_code": "US",
"telephone_number": "718-506-5936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARREGA",
"first_name": "CHANEL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "773603",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "315623",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.