Active NPIIndividual provider

Carly R Charbonneau, NP

Nurse Practitioner, Pediatrics in Springfield, Massachusetts

NPI Number1174222475
Practice location
759 Chestnut St Ste C3358, Springfield, MA 01107-1619
Fax
413-794-1273
Last updated
February 18, 2026

Carly Rose Charbonneau is a Nurse Practitioner, Pediatrics based in Springfield, MA. Carly Rose Charbonneau practices in Springfield, MA and has the professional credentials of NP. The NPI Number for Carly Rose Charbonneau is 1174222475 and holds a License No. RN2286438 (MA). The current practice location address for Carly Rose Charbonneau is 759 Chestnut St Ste C3358, Springfield, MA 01107-1619 and can be reached out via phone at 413-794-2398 and via fax at 413-794-1273.

Provider Profile Details

NPI Number
1174222475
Provider Name
Carly Rose Charbonneau
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
759 Chestnut St Ste C3358, Springfield, MA 01107-1619
Phone Number
413-794-2398
Fax Number
413-794-1273
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
February 27, 2023
Last Update Date
February 18, 2026
Certification Date
February 18, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
759 Chestnut St Ste C3358
Springfield, MA 01107-1619
Zip
01107-1619
Phone Number
413-794-2398
Fax Number
413-794-1273
Springfield, MA 01107Get directions →

Provider Business Mailing Address Details

Address
280 Chestnut St Fl 2
Springfield, MA 01199-1001
City
Springfield
State
MA
Zip
01199-1001
Phone Number
413-794-5700

License Information

License Number
RN2286438
License State
MA
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carly R Charbonneau, NP?

The NPI number of Carly R Charbonneau, NP is 1174222475. It was assigned on February 27, 2023 and is currently active in the NPPES registry.

What is the specialty of Carly R Charbonneau, NP?

Carly R Charbonneau, NP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number RN2286438.

Where does Carly R Charbonneau, NP practice?

The practice location is 759 Chestnut St Ste C3358, Springfield, MA 01107-1619. The office can be reached at 413-794-2398 (phone) or 413-794-1273 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174222475 directly on the NPPES registry website.

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