Active NPI
Chelsea Addy, NP
- Pediatric Nurse Practitioner
- Glendale, CA
National Provider Identifier
1013588102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 95013500
- Practice address
- 611 N Brand Blvd Ste 100
Glendale, CA 91203-3240 - Phone
- (747) 286-2600
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 95013500 | CA | Primary |
Addresses
Primary practice location
611 N Brand Blvd Ste 100
Glendale, CA 91203-3240
Mailing address
6160 Cornerstone CT E Ste 100
San Diego, CA 92121-3724
Other practice location 1
17059 El Cajon Ave
Yorba Linda, CA 92886-2220
Phone (747) 999-5833
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | other |
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95013500 | CA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortica Healthcare Inc | Past | Accepting new patients |
Interoperability endpoints
- chelsea.addy.1@14973.direct.athenahealth.com
- https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4
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.
-
- Health Service Clinic/Center
- San Diego, CA
- NPI 1801288535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1013588102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6160 CORNERSTONE CT E STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 N BRAND BLVD STE 100",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912033240",
"telephone_number": "747-286-2600"
}
],
"practiceLocations": [
{
"address_1": "17059 El Cajon Ave",
"address_purpose": "LOCATION",
"city": "Yorba Linda",
"state": "CA",
"postal_code": "928862220",
"country_code": "US",
"telephone_number": "747-999-5833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADDY",
"first_name": "CHELSEA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95013500",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "other",
"affiliation": "N",
"address_1": "17059 El Cajon Ave",
"city": "Yorba Linda",
"state": "CA",
"country_code": "US",
"postal_code": "928862220",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.