Manoucheka Charlemagne

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN91156 Issued in MA

Practice address

19 Grove Ave
Randolph, MA 02368-2603

Phone

(781) 645-2907

NPI assigned

Apr 10, 2025

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Life Medical Solutions Inc.

  • Durable Medical Equipment & Medical Supplies
  • Avon, MA
  • NPI 1790664340
  NPD Authorized official

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1992590079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GROVE AVE",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682603",
            "telephone_number": "781-645-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 GROVE AVE",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682603",
            "telephone_number": "781-645-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLEMAGNE",
        "first_name": "MANOUCHEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN91156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Chan, PHARMD
• Louise Chandler, RN CS
• Thais Chandler
• Stephanie T Chang, MSW
• Joel T Chariton, DPM
• Michael Chase
• Marie Josee Chateau
• Nikki Chau, PHARM.D.
• Claudette Chavannes
• Veronica Chavez

• Licensed Practical Nurse in Randolph, MA
• Providers in Randolph, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.