CHARISSE FARRELL (NPI# 1437781986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437781986 |
| Entity Type | Individual |
| Full Name | CHARISSE FARRELL |
| Credential | APRN |
| Practice Address |
5401 S Congress Ave Ste 204 Atlantis FL 33462-6637 |
| Mailing Address |
5952 Buttonbush Dr Westlake FL 33470-6500 |
| Practice Telephone | 5619674118 |
| Mailing Telephone | 5615068335 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11006132 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5401 S CONGRESS AVE STE 204 |
| City | ATLANTIS |
| State | FL |
| Zip Code | 33462-6637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821045642 | Jay S Maizes | Internal Medicine | 5401 S Congress Ave Ste 204, Atlantis, FL 33462-6637 | 2006-05-27 |
| 1548751498 | Pulmonary Critical Care and Sleep | Internal Medicine | 5401 S Congress Ave Ste 204, Atlantis, FL 33462-6637 | 2018-05-27 |
| 1285170829 | Mirta Aguilar-ragbir | Nurse Practitioner | 5401 S Congress Ave Ste 204, Atlantis, FL 33462 | 2017-01-06 |
| 1619365269 | Michelle J Meadows | Nurse Practitioner | 5401 S Congress Ave Ste 204, Atlantis, FL 33462-6637 | 2015-01-06 |
| 1457562159 | Luis Javier Pena-hernandez | Internal Medicine | 5401 S Congress Ave Ste 204, Atlantis, FL 33462-6637 | 2007-05-24 |
| 1134164395 | Carlos Sanchez | Internal Medicine | 5401 S Congress Ave Ste 204, Atlantis, FL 33462-6637 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124650692 | Marie Guerlande Cius | Nurse Practitioner | Jfk Medical Center, Atlantis, FL 33436 | 2020-02-12 |
| 1821556176 | Trisia Rose Gopie | Nurse Practitioner | 180 John F Kennedy Dr Ste 311, Atlantis, FL 33462-6641 | 2019-03-06 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| 1619574795 | Erica Rosa | Nurse Practitioner | 180 Jfk Dr Ste 320, Atlantis, FL 33462-6641 | 2020-10-02 |
| 1194341545 | Wislande Gilles | Nurse Practitioner | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-06-22 |
| 1669002382 | Edzer Desarmes | Nurse Practitioner | 130 Jfk Dr Ste 134, Atlantis, FL 33462-1133 | 2020-01-22 |
| 1023651064 | Alexandra Sperling | Nurse Practitioner | 5401 S Congress Ave Ste 102, Atlantis, FL 33462-6636 | 2019-10-22 |
| 1982260550 | Joselline Johnson | Nurse Practitioner | 180 Jfk Dr Ste 320, Atlantis, FL 33462-6641 | 2019-05-19 |
| 1689135329 | Gem Martin | Nurse Practitioner | 5507 S Congress Ave Ste 130, Atlantis, FL 33462-1139 | 2019-03-26 |
| Find all providers in ATLANTIS | ||||
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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.