Charlotte Chance, RN, AE-C

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041241620 Issued in IL

Practice address

601 James R Thompson Blvd Ste 2015
East Saint Louis, IL 62201-1118

Phone

(618) 482-6959

Fax

(618) 482-8311

NPI assigned

Oct 2, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Board of Trustees of Southern Illinois University

  • Nurse Practitioner
  • East Saint Louis, IL
  • NPI 1104230168
  NPD (past)

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1083124234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JAMES R THOMPSON BLVD STE 2015",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622011118",
            "telephone_number": "618-482-6959",
            "fax_number": "618-482-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JAMES R THOMPSON BLVD STE 2015",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622011118",
            "telephone_number": "618-482-6959",
            "fax_number": "618-482-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCE",
        "first_name": "CHARLOTTE",
        "credential": "RN, AE-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041241620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C & T Transportation Services Corp.
• Call for Help, Inc.
• Call for Help, Inc.
• Call for Help, Inc.
• Hilary B Campbell, RD
• Jennifer Childerson, MSW
• Children'S Center for Behavioral Development
• Children'S Home and Aid
• Childrens Home & Aid Soc of Il
• Choice Community Care, Inc.

• Registered Nurse in East Saint Louis, IL
• Providers in East Saint Louis, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.