Ilea Charlton

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

112 4TH St SW
Watford City, ND 58854-7146

Phone

(701) 690-5956

NPI assigned

Jan 14, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1912596867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1614",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "588541614",
            "telephone_number": "701-690-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 4TH ST SW",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "588547146",
            "telephone_number": "701-690-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLTON",
        "first_name": "ILEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Edward Brewster, M.D.
• Nathan Joseph Burbach, DDS
• Rocio Casanova-Wurzer
• Stephanie Casteel
• Virginia Ellen Ceynar, P.A.-C
• Crystal Marie Christensen, FNP-C
• Jessica M Comeau, FNP
• Kathleen Danks
• Jeffrey Alan Davis, ATC, LAT
• Danielle Mari Demorrow, DDS

• Personal Care Attendant in Watford City, ND
• Providers in Watford City, ND by specialty
• Personal Care Attendant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.