Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dianne Christine Charles , LPN

Physician β€’ Bronx, NY

Deactivated NPI 1285039131 Deactivated in NPPES Female Practitioner
Practice location in NPPES

663 E 220th St, Apt 1
Bronx, NY 104675317

Phone: 9175009332

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of July 06, 2023; the reason is not published. The records below are historical. They do not show whether Dianne Charles currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date November 04, 2014
NPI Deactivation Date July 06, 2023
NPI Active Period 2014 – 2023

Practice Location & Contact Primary Location

Practice Address

663 E 220th St
Apt 1

Bronx, NY 104675317

Telephone 9175009332
Organization at the Same NPPES Address or Phone
Dianne Charles Facility NPI 1417363094

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Bronx and New York

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Clinic/Center - Community Health Primary Specialty

NUCC Taxonomy Code: 261QC1500X

License # reported to NPPES NY 2677541
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated July 06, 2023

NPPES lists this NPI as deactivated as of July 06, 2023; the reason is not published.

βœ…
NPI Profile Active November 04, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 04, 2014

Registered at 663 E 220TH ST, APT 1, BRONX, NY 104675317 (Tel: 9175009332)

πŸ“
Business Mailing Address (Initial Record) November 04, 2014

Registered at 663 E 220TH ST, APT 1, BRONX, NY 104675317 (Tel: 9175009332)

πŸ‘€
Provider Name / Credentials (Initial Record) November 04, 2014

Recorded as DIANNE CHARLES, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2014

Clinic/Center (license number reported to NPPES: NY 2677541)

🟒
Initial NPI Registration & Enumeration November 04, 2014

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1285039131
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2014
Last Update: November 04, 2014
Deactivation Date: July 06, 2023

Mailing Address

663 E 220th St, Apt 1

Bronx, NY 104675317

Phone: 9175009332

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.