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KETTIA CHARLES
NPI 1750239208
Nurse Practitioner - Family in Syracuse, NY

Active since March 19, 2026
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5540 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kettia Charles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETTIA CHARLES (NPI 1750239208) is an individual family provider in Syracuse, New York, licensed in New York (699259) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1750239208
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKETTIA CHARLES
Location Address750 E ADAMS STSyracuse, NY 13210-2306
Mailing Address3 Balmville RdNewburgh, NY 12550-1911
Phone(315) 464-5540
Sole ProprietorYes
Enumeration DateMarch 19, 2026
NPPES CertifiedMarch 19, 2026
✔ NPI 1750239208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 699259
750 E ADAMS ST, Syracuse, NY 13210
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kettia Charles's NPI number?

The NPI number for Kettia Charles is 1750239208. It was assigned to this individual provider in the NPPES registry on March 19, 2026.

Where is Kettia Charles located?

Kettia Charles practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-5540.

What is Kettia Charles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kettia Charles was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.