Active NPI
Laura Chastain
- Family Nurse Practitioner
- Chattanooga, TN
National Provider Identifier
1043418031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7395
- Practice address
- 1651 Gunbarrel Rd Ste 201
Chattanooga, TN 37421 - Phone
- (423) 899-9133
- Fax
- (423) 855-8176
- NPI assigned
- Jul 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7395 | TN | Primary |
Addresses
Primary practice location
1651 Gunbarrel Rd Ste 201
Chattanooga, TN 37421
Mailing address
4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 308-0280
Other practice location 1
1651 Gunbarrel Rd Ste 101A
Chattanooga, TN 37421-3289
Phone (423) 899-9133
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 |
|---|---|---|---|
| 7395 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1043418031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4976 ALPHA LN",
"city": "HIXSON",
"state": "TN",
"postal_code": "373435470",
"telephone_number": "423-308-0280",
"fax_number": "423-308-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 GUNBARREL RD STE 201",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37421",
"telephone_number": "423-899-9133",
"fax_number": "423-855-8176"
}
],
"practiceLocations": [
{
"address_1": "1651 Gunbarrel Rd Ste 101A",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374213289",
"country_code": "US",
"telephone_number": "423-899-9133",
"fax_number": "423-855-8176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHASTAIN",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "7395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
- Laura Chase, AGACNP-BC, AGPCNP-BC
- Nathan David Chase, LCPC, CADC
- Shirleen D. Chase, NP
- Farlie Preston Lavon Chastain, LCSW
- Katherine Marie Chastain, PA
- Timothy Robert Chastanet
- Emily Jean Chastang, PHARMD
- Chattanooga Allergy Clinic , PLLC
- Chattanooga Anesthesia for Outpatient Surgery, PLLC
- Chattanooga Anesthesia Partners, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.