NPIMap

Organization Active NPI

Kelli Anne Chamberlain

  • Psychiatric/Mental Health Registered Nurse
  • Garfield HTS, OH
National Provider Identifier
1013418458
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
234491 Issued in OH
Legal business name
KELLI ANNE CHAMBERLAIN
Practice address
12395 McCracken Rd
Garfield HTS, OH 44125-2967
Phone
(216) 587-6727
Fax
(216) 475-7423
NPI assigned
Feb 21, 2018
Last updated
Feb 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Andrew Coll
Title
Human Resources
Phone
(216) 587-6727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X 234491 OH Primary

Addresses

Primary practice location

12395 McCracken Rd
Garfield HTS, OH 44125-2967

Mailing address

12395 McCracken Rd
Garfield HTS, OH 44125-2967
Phone (216) 587-6727

National Provider Directory

National Provider Directory

Locations

12395 McCracken Rd
Garfield Hts, OH 44125
Phone 2165876727 ext. 3510

Practitioners & affiliated clinicians

Practitioners 98

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 98

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1013418458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12395 MCCRACKEN RD",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441252967",
            "telephone_number": "216-587-6727",
            "fax_number": "216-475-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 MCCRACKEN RD",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441252967",
            "telephone_number": "216-587-6727",
            "fax_number": "216-475-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLI ANNE CHAMBERLAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "COLL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "HUMAN RESOURCES",
        "authorized_official_telephone_number": "216-587-6727"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "234491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.