Individual provider Active NPI

Sharolyn Rose Chitty, FNP-C

  • Family Nurse Practitioner
  • Deridder, LA
National Provider Identifier
1043836018
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
213753 Issued in LA
Practice address
206 W 5TH St
Deridder, LA 70634-4856
Phone
(337) 463-5582
NPI assigned
Jun 24, 2020
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 213753 LA Primary

Addresses

Primary practice location

206 W 5TH St
Deridder, LA 70634-4856

Mailing address

1855 Highway 27
Deridder, LA 70634-5477
Phone (337) 348-4260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024002284 LA Practitioner - Nurse Practitioner 6204376338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-LeesvilleGroup PAC ID 4082963301, 25 clinicians

Practice addresses (Care Compare)

412 S Pine St
West Louisiana Family Practice de
Deridder, LA 70634-4840
Phone (337) 462-5700

506 S 6TH St
Byrd Medical Clinic
Leesville, LA 71446-4482
Phone (337) 239-0989

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Leesville CurrentSince Apr 25, 2024 Accepting new patients
CLHG-Leesville Current Accepting new patients
CLHG-Leesville CurrentSince Apr 25, 2024 Accepting new patients
Byrd Medical Clinic Inc Past Accepting new patients

Locations

412 S Pine St
Deridder, LA 70634
Phone (337) 462-5700

427 N Pine St
Deridder, LA 70634
Phone (337) 239-0989

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

506 S 6th St
Leesville, LA 71446
Phone (337) 239-0989

927 Verone Ter
Leesville, LA 71446
Phone (337) 238-1049

Interoperability endpoints

  • Direct secure messaging: sharolyn.chitty.1@17837.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1043836018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 HIGHWAY 27",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706345477",
            "telephone_number": "337-348-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W 5TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344856",
            "telephone_number": "337-463-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITTY",
        "first_name": "SHAROLYN",
        "middle_name": "ROSE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "213753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

Verify at the official NPI Registry.