Active NPI
Raoul Charles, TT
- Certified Respiratory Therapist
- Lake Worth, FL
National Provider Identifier
1922479260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- TT12955
- Practice address
- 5848 Corson PL
Lake Worth, FL 33463-1547 - Phone
- (561) 267-8276
- Fax
- (305) 248-1009
- NPI assigned
- Oct 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | TT12955 | FL | Primary |
Addresses
Primary practice location
5848 Corson PL
Lake Worth, FL 33463-1547
Mailing address
5848 Corson PL
Lake Worth, FL 33463-1547
Phone (561) 267-8276
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TT12955 | FL | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1922479260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5848 CORSON PL",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334631547",
"telephone_number": "561-267-8276",
"fax_number": "305-248-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5848 CORSON PL",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334631547",
"telephone_number": "561-267-8276",
"fax_number": "305-248-1009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "RAOUL",
"credential": "TT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-13",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "FL",
"license": "TT12955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.