JACQUELYN CHARLES (NPI# 1710300397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710300397 |
| Entity Type | Individual |
| Full Name | JACQUELYN CHARLES |
| Practice Address |
4046 Glenlea Commons Dr Charlotte NC 28216-9515 |
| Practice Telephone | 7064123035 |
| Mailing Telephone | 7064123035 |
| Enumeration Date | 2014-02-02 |
| Last Update Date | 2014-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
4046 GLENLEA COMMONS DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28216-9515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837331 | Transit Consortium of South Carolina, LLC | Non-emergency Medical Transport (VAN) | 5025 Roundstone Way, Suite 103, Charlotte, NC 28216 | 2020-03-25 |
| 1811538796 | Strengthening Families Within Communities LLC | Community/Behavioral Health | 4135 Bryan Furr Drive, Charlotte, NC 28216 | 2019-10-02 |
| 1841705159 | Karen Sue Rhea | Registered Nurse | 4004 Nicole Eileen Lane, Charlotte, ND 28216 | 2017-12-08 |
| 1992225890 | Be Free Counseling, Pllc | Social Worker | 7800 Bridle Court, Charlotte, NC 28216 | 2017-06-21 |
| 1013466416 | Roha Solutions, Inc | Community Based Residential Treatment Facility, Mental Illness | 1529 Jennings St, Charlotte, NC 28216 | 2016-09-26 |
| 1336595826 | North Carolina Neurodiagnostics, LLC | Clinic/Center | 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 | 2016-05-13 |
| 1346600699 | Elizabeth Ayodele Agiri | Registered Nurse | 9404 Perimeter Station Dr, Apt. 108, Charlotte, NC 28216 | 2016-02-29 |
| 1922479179 | Prashant Patel | Pharmacist | 9820 Callibridge Court, Charlotte, NC 28216 | 2015-10-14 |
| 1205226685 | Sarah Baker | Social Worker | 10506 Grobie Way Apt 104, Charlotte, NC 28216 | 2015-01-23 |
| 1578967089 | The Moon Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4548 Hyperion Court, Charlotte, NC 28216 | 2014-10-13 |
| Find all providers in zip 28216 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895531 | Tina Lashay Johnson | Contractor | 5511 Monroe Rd Ste 206, Charlotte, NC 28212-5503 | 2020-09-09 |
| 1548879166 | Tamika M Wright | Contractor | 638 Wilora Landing Rd, Charlotte, NC 28212-8456 | 2020-07-29 |
| 1164030623 | Nakela Humphries | Contractor | 4957 Albemarle Rd Ste A, Charlotte, NC 28205-6617 | 2020-07-21 |
| 1730743485 | Princess Ejindu | Contractor | 9700 Research Dr Ste 107, Charlotte, NC 28262-8569 | 2019-04-29 |
| 1174057566 | Maisha Hill | Contractor | 321 N Davidson St, 307, Charlotte, NC 28202-2928 | 2017-04-12 |
| 1265971634 | Patricia Ellen Downs | Contractor | 8125 Plott Rd, Charlotte, NC 28215-9497 | 2017-02-18 |
| 1285089391 | Janet Levine | Contractor | 8124 Tremaine Ct, Apt E, Charlotte, NC 28227-0605 | 2016-04-26 |
| 1447648860 | Agneta Cynthia Adewumi | Contractor | 9532 Grove Side Ln, Apt 1203, Charlotte, NC 28262-5494 | 2015-01-07 |
| 1831437813 | Cynthia Dale Daly | Contractor | 2946 Redfield Dr, Charlotte, NC 28270-3754 | 2013-01-24 |
| 1700140985 | Sharon Ann Fenlon I | Contractor | 5913 Graburns Ford Dr, Charlotte, NC 28269-7121 | 2012-07-02 |
| Find all providers in CHARLOTTE | ||||
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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.