Active NPI
Jeanne D Charest, APRN
- Pediatric Nurse Practitioner
- Berlin, NH
National Provider Identifier
1962403238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0139452302
- Practice address
- 133 Pleasant St
Berlin, NH 03570-2006 - Phone
- (603) 752-2040
- Fax
- (603) 752-7797
- NPI assigned
- Aug 9, 2005
- Last updated
- Mar 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0139452302 | NH | Primary |
Addresses
Primary practice location
133 Pleasant St
Berlin, NH 03570-2006
Mailing address
133 Pleasant St
Berlin, NH 03570-2006
Phone (603) 752-2040
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3071895 | Medicaid | NH | |
| 0139452302 | Other | NH | STATE LICENSE # |
| 020350051 | Other | FEDERAL TAX ID | |
| 16009 | Other | NH | CIGNA HEALTHCARE |
| 2308433YPNH01 | Other | NH | ANTHEM BC/BS |
| 30005542 | Medicaid | NH | |
| 5830418 | Other | AETNA |
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 |
|---|---|---|---|
| 0139452302 | NH | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1962403238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 PLEASANT ST",
"city": "BERLIN",
"state": "NH",
"postal_code": "035702006",
"telephone_number": "603-752-2040",
"fax_number": "603-752-7797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 PLEASANT ST",
"city": "BERLIN",
"state": "NH",
"postal_code": "035702006",
"telephone_number": "603-752-2040",
"fax_number": "603-752-7797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAREST",
"first_name": "JEANNE",
"middle_name": "D",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NH",
"license": "0139452302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3071895",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "0139452302",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "020350051",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "16009",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "2308433YPNH01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30005542",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5830418",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Berlin, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.