Active NPI
Karen Chalanick
- Pediatric Nurse Practitioner
- Gettysburg, PA
National Provider Identifier
1003829995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP017218
- Practice address
- 147 Gettys St
Gettysburg, PA 17325-2534 - Phone
- (717) 851-3884
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F380671 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | SP017218 | PA | Primary |
Addresses
Primary practice location
147 Gettys St
Gettysburg, PA 17325-2534
Mailing address
601 Elmwood Ave
Box 635
Rochester, NY 14642-0001
Phone (585) 275-7787
Other practice location 1
601 Elmwood Ave
Box 635
Rochester, NY 14642-0001
Phone (585) 275-7787
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02197006 | Medicaid | NY | |
| PENDING | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 380671 | NY | MD | Registered Nurse |
| F380671 | NY | MD | Pediatric Nurse Practitioner |
| SP017218 | PA | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- kchalanick110547@wellspan.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003829995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"address_2": "BOX 635",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-275-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 GETTYS ST",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173252534",
"telephone_number": "717-851-3884"
}
],
"practiceLocations": [
{
"address_1": "601 Elmwood Ave",
"address_2": "Box 635",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146420001",
"country_code": "US",
"telephone_number": "585-275-7787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHALANICK",
"first_name": "KAREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F380671",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP017218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02197006",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gettysburg, PA
- Caring Hearts Ambulance and Medical Transportation Service
- Caring Hearts Ambulance and Medical Transportation Service
- Jaclyn Carney, AUD
- Melissa Casciotti, PAC
- Madison Taylor Cessna
- Kimberly Sue Chandler, CRNP
- Yu-Wen Chang, M.D.
- Allie Chapman, LSW
- Bilal Aslam Chaudhry, M.D.
- Christopher Shin-Da Chen, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.