Individual provider Active NPI

Erin Amanda Chicoine, M.D.

  • Internal Medicine Physician
  • Jbsa Fort Sam Houston, TX
National Provider Identifier
1003202508
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101261536 Issued in VA
Practice address
Brooke Army Medical Center
3551 Roger Brooke Dr
Jbsa Fort Sam Houston, TX 78234-4504
Phone
(210) 916-5000
Fax
(210) 916-2077
NPI assigned
Apr 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101261536 VA Primary

Addresses

Primary practice location

Brooke Army Medical Center
3551 Roger Brooke Dr
Jbsa Fort Sam Houston, TX 78234-4504

Mailing address

Brooke Army Medical Center
3551 Roger Brooke Dr.
Jbsa Fort Sam Houston, TX 78234-4504
Phone (210) 916-5000

Other practice location 1

Walter Reed National Military Medical Center
4494 Palmer Rd N
Bethesda, MD 20814
Phone (301) 295-0196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191001002556 VA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0648500801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101261536VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Southwest Louisiana PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1003202508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BROOKE ARMY MEDICAL CENTER",
            "address_2": "3551 ROGER BROOKE DR.",
            "city": "JBSA FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROOKE ARMY MEDICAL CENTER",
            "address_2": "3551 ROGER BROOKE DR",
            "city": "JBSA FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-5000",
            "fax_number": "210-916-2077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Walter Reed National Military Medical Center",
            "address_2": "4494 Palmer Rd N",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "20814",
            "country_code": "US",
            "telephone_number": "301-295-0196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHICOINE",
        "first_name": "ERIN",
        "middle_name": "AMANDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2024-05-07",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101261536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.