Diem Nguyen Chang, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APN.0995908 Issued in CO

Practice address

9195 Grant St
Thornton, CO 80229-4385

Phone

(720) 647-5858

NPI assigned

Nov 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: diem.chang.1@11920.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23872/brand/5/csg/61/fhir/r4

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.

• Tpirc Medical Foundation Inc

  • Pediatric Allergy/Immunology Physician
  • Signal Hill, CA
  • NPI 1053040188
  NPD (past)

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1073116125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 WEWATTA ST APT 20619",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802026381",
            "telephone_number": "704-806-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9195 GRANT ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294385",
            "telephone_number": "720-647-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DIEM",
        "middle_name": "NGUYEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1667433",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "APN.0995908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Chamberlain, D.C.
• Evelyn Chan, D.M.D
• Margaret Leigh Chancellor, B.S., CACIII
• Fawn Chandler-Sullivan
• Nicole Renee Chandonnet, M.S. CCC-SLP
• Olga E. Chapman, RN
• Ashley S Character, CNM
• Morgana Rain Charboneau, R.N.
• Charleanea M. Arellano, PH.D., LLC
• Madeline Charles, MSW

• Pediatric Nurse Practitioner in Thornton, CO
• Providers in Thornton, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.