Nicole Denee Chase

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

1755 Coburg Rd # Bulding5
Eugene, OR 97401-4982

Phone

(541) 654-4175

Fax

(541) 844-1291

NPI assigned

May 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Denee Croft Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sally Suzanne Marie MD

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1184881393
  NPD (past)

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1023376662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 COBURG RD # BULDING5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014982",
            "telephone_number": "541-654-4175",
            "fax_number": "541-844-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 COBURG RD # BULDING5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014982",
            "telephone_number": "541-654-4175",
            "fax_number": "541-844-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "NICOLE",
        "middle_name": "DENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CROFT",
            "middle_name": "DENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea L Charles
• Valerie Jeanne Charles, LMT
• Joseph Charlone
• Chase Gardens Surgery Center LLC
• Lauren Diane Chase, RD
• Valerie Chase
• Matthew Chasen
• Jennifer Christine Chastain, MS, RD
• Patricia Gabriela Chauca, M.S.
• Michelle Andrea Chaves, LPC

• Nutritionist in Eugene, OR
• Providers in Eugene, OR by specialty
• Nutritionist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.