Katelynn Jerrica Charles, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11001591 Issued in FL

Practice address

306 Lincoln Rd # 5010
Miami Beach, FL 33139-3103

Phone

(305) 531-5583

NPI assigned

Mar 7, 2019

Last updated

Jul 7, 2021By 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)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1891253860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 LINCOLN RD FL 33139",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393103",
            "telephone_number": "305-531-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 LINCOLN RD # 5010",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393103",
            "telephone_number": "305-531-5583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5352 Linton Blvd",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846514",
            "country_code": "US",
            "telephone_number": "561-498-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "KATELYNN",
        "middle_name": "JERRICA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph C Chan, M.D.
• Sreekala Chandrachoodan, FNP-BC
• Rachel Chaney
• Paul Brian Chaplin, M.D.
• Charis Health Services, Inc.
• Allen M Cheifetz, LMHC
• Xing Zhi Chen
• Graci B Chevez, PA-C
• Lorena Carla Chiantaretto
• Alison Chiaro

• Family Nurse Practitioner in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.