EDDIE JOSEE CHARLES (NPI# 1568000149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568000149 |
| Entity Type | Individual |
| Full Name | EDDIE JOSEE CHARLES |
| Practice Address |
4055 Valley View Ln Ste 400 Dallas TX 75244-5071 |
| Mailing Address |
19 Miner St North Providence RI 02904-3258 |
| Practice Telephone | 9727153800 |
| Mailing Telephone | 2393841793 |
| Enumeration Date | 2019-12-14 |
| Last Update Date | 2019-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN02210 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4055 VALLEY VIEW LN STE 400 |
| City | DALLAS |
| State | TX |
| Zip Code | 75244-5071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952302903 | Diane T Bennett | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2005-08-02 |
| 1881291151 | Aliya Maria Young | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-10-08 |
| 1194332098 | Liyenni Gonzalez | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-09-25 |
| 1245846963 | Abigail Elizabeth Mcintosh | Registered Nurse | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-09-17 |
| 1619582087 | Folake Orehin | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-09-12 |
| 1740895465 | Victoria Adigun | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-09-10 |
| 1366054181 | Kelley Burchak | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-08-21 |
| 1699387852 | Jennifer R. Sells | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-08-19 |
| 1932719606 | Jenny Garner Tharp | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-08-06 |
| 1912524950 | Christina Roberts | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1851941413 | Medi-wheels, LLC | Durable Medical Equipment & Medical Supplies | 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 | 2019-09-16 |
| 1972157436 | Samantha Lograsso | Nurse Practitioner | 4055 Valley View Ln Suite 400, Dallas, TX 75244 | 2019-08-01 |
| 1205313780 | Cherae Ashland Burton | Licensed Vocational Nurse | 4099 Mcewen Rd., Farmers Branch, TX 75244 | 2018-07-26 |
| 1700383197 | Melissa Fitts | Behavioral Analyst | 13604 Midway Rd. #180, Farmers Branch, TX 75244 | 2018-04-11 |
| 1932607983 | Vcphcs, Lp | Clinic/Center | 5001 Spring Valley Road, Suite 600 East, Dallas, TX 75244 | 2018-01-24 |
| 1518406636 | Gentech Laboratories LLC | Clinical Medical Laboratory | 4403 N. Beltwood Parkway, Suite 300, Dallas, TX 75244 | 2017-02-22 |
| 1881045680 | Innovative Lifeskills Training Center LLC | Preferred Provider Organization | 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 | 2016-06-23 |
| 1376992792 | Lynnlie Tuschoff | Registered Nurse | 4099 Mcewen, Suite 250, Farmers Brach, TX 75244 | 2016-06-07 |
| 1609223072 | Debra Jules | Licensed Vocational Nurse | 4099 Mcewen Road, Dallas, TX 75244 | 2016-05-16 |
| Find all providers in zip 75244 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083077 | Renee Mieselle Lies | Nurse Practitioner | 2602 Mckinney Ave Ste 115, Dallas, TX 75204-0727 | 2020-08-11 |
| 1518592534 | Raven Aravind | Nurse Practitioner | 1900 Caddo Street, Number 4, Dallas, TX 75204-4223 | 2020-03-10 |
| 1366090417 | Maria Whitney Nance | Nurse Practitioner | 7777 Forest Ln Ste D308, Dallas, TX 75230-2571 | 2019-09-02 |
| 1336708361 | Sunny Dedmon | Nurse Practitioner | 3225 Turtle Creek Blvd Apt 520, Dallas, TX 75219-5461 | 2019-06-12 |
| 1306401419 | Quatina Lasha Rivers-fleming | Nurse Practitioner | 522 Ivy Chase Loop, Dallas, GA 30157-0946 | 2019-05-03 |
| 1679136220 | Marvise Ijeoma Oduagu | Nurse Practitioner | 305 W Commerce St Apt 336, Dallas, TX 75208-1985 | 2019-04-19 |
| 1851860365 | Yoon Jung Ra | Nurse Practitioner | 2610 Allen St Apt 5410, Dallas, TX 75204-2447 | 2018-11-14 |
| 1134696453 | Mitchell Grayson Kelly | Nurse Practitioner | 5323 Harry Hines Blvd Mailcode 8590, Dallas, TX 75390-0001 | 2018-10-24 |
| 1710411822 | Latosca Brunner | Nurse Practitioner | 221 W Beckley Blvd, Pavilion 2 Suite 929, Dallas, TX 75202 | 2017-04-14 |
| 1376900746 | Lashandra Gray | Nurse Practitioner | 9111 Prairie Bluff Dr, Dallas, TX 75227-5245 | 2016-01-15 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.