Individual provider Active NPI

Wannetta Chopane, LVN

  • Licensed Vocational Nurse
  • Houston, TX
National Provider Identifier
1053064147
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
188863 Issued in TX
Practice address
440 Benmar Dr Ste 3325
Houston, TX 77060-3127
Phone
(281) 936-1021
Fax
(346) 344-0204
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164X00000X 188863 TX Primary

Addresses

Primary practice location

440 Benmar Dr Ste 3325
Houston, TX 77060-3127

Mailing address

440 Benmar Dr Ste 3325
Houston, TX 77060-3127
Phone (281) 936-1021

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

State licenses

LicenseStateTypeSpecialty
188863TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1053064147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 BENMAR DR STE 3325",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603127",
            "telephone_number": "281-936-1021",
            "fax_number": "346-344-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 BENMAR DR STE 3325",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603127",
            "telephone_number": "281-936-1021",
            "fax_number": "346-344-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOPANE",
        "first_name": "WANNETTA",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "188863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.