Amy L Chaffin, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.170005.MEDS-IV Issued in OH

Practice address

749 C St RT 28
Milford, OH 45150

Phone

(513) 214-2094

Fax

(513) 214-2095

NPI assigned

Mar 4, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Baymark Health Services of Ohio, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Milford, OH
  • NPI 1306403118
  NPD (past)
• Baymark Health Services of Ohio, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lebanon, OH
  • NPI 1740847557
  NPD (past)

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1033704705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 C ST RT 28",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "45150",
            "telephone_number": "513-214-2094",
            "fax_number": "513-214-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 C ST RT 28",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "45150",
            "telephone_number": "513-214-2094",
            "fax_number": "513-214-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFFIN",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.170005.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "achaffin@medmark.com",
            "affiliation": "N",
            "address_1": "749 C St Rt 28",
            "city": "Milford",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cheyanne Carson, RBT
• Maegan Carson
• Shari Carter, LISW-S
• Center for Dynamic
• Tiffany Rose Cerqua
• Jennifer Chamberlin
• Christina Marie Chambers, CDCA
• Terry Lee Chandler, CDCA PRELIMIARY
• Clementine Marie Chaney, LSW S.2106764
• Alexis Chase

• Licensed Practical Nurse in Milford, OH
• Providers in Milford, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.