Charlese Ji-Ara Pannell

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

310526 Issued in NY

Practice address

61 Beaverdam Road
Bellport, NY 11713-2125

Phone

(631) 803-8327

NPI assigned

Sep 14, 2012

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1912257288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BEAVERDAM ROAD",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132125",
            "telephone_number": "631-803-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BEAVERDAM ROAD",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132125",
            "telephone_number": "631-803-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNELL",
        "first_name": "CHARLESE",
        "middle_name": "JI-ARA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "310526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutrition Sense, PLLC
• Karen O'Brien, LCSW-R
• Chioma Ogbogu -Chukwuemeka, FNP
• Tyri Oliver, LPN
• Michael Oshea
• Maryann Parbus, RN
• Roodal L Partap
• Peemed Express Care LLC
• Bettina Pennon, CASAC
• Jessica Pentecost

• Licensed Practical Nurse in Bellport, NY
• Providers in Bellport, 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 Sep 14, 2012; 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.