Charlette Marie Pouncil, L.V.N.

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN189583 Issued in CA

Practice address

1628 Broadway St Ste B
Vallejo, CA 94590-2405

Phone

(707) 649-8300

Fax

(707) 649-8200

NPI assigned

May 1, 2007

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

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962623975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 GORDON VERNER CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952066116",
            "telephone_number": "510-253-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 BROADWAY ST STE B",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902405",
            "telephone_number": "707-649-8300",
            "fax_number": "707-649-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUNCIL",
        "first_name": "CHARLETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "L.V.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN189583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marie Portello, RRT
• Kelly Porter
• Portia Maristela Escobar, DMD, PDC
• Michael Postell, LMFT
• Jeffrey Author Pouncey, PSY.D.
• Penny Terrell Pouvoir
• Jamie Yolanda Powell
• Ingrid Jennifer Powers, PT
• Preeti Prabhu, DO
• Srikanth Prayaga, M.D

• Licensed Vocational Nurse in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.