Individual provider Active NPI

Catherine Chiaradonna, NP

  • Adult Health Nurse Practitioner
  • Grants Pass, OR
National Provider Identifier
1003275843
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
201405791 Issued in OR
Practice address
1867 Williams Hwy Ste 226
Grants Pass, OR 97527-5856
Phone
(877) 672-8620
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 201405791 OR Primary
Adult Health Nurse Practitioner 363LA2200X 9191709 FL

Addresses

Primary practice location

1867 Williams Hwy Ste 226
Grants Pass, OR 97527-5856

Mailing address

1867 Williams Highway, Suite 226
Grants Pass, OR 97527
Phone (877) 672-8620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, FL, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200824001969 OR Practitioner - Nurse Practitioner 7315364221 Reassigns benefits to 1 organization
I20200902002336 FL Practitioner - Nurse Practitioner 7315364221
I20220504002234 NC Practitioner - Nurse Practitioner 7315364221 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9191709FLMDAdult Health Nurse Practitioner
201405791ORMDAdult Health Nurse Practitioner

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": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1003275843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 WILLIAMS HIGHWAY, SUITE 226",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97527",
            "telephone_number": "877-672-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 WILLIAMS HWY STE 226",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275856",
            "telephone_number": "877-672-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARADONNA",
        "first_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "201405791",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9191709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.