Chantal Madeleine Lobue, FNP/PAC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

13150 Issued in CA

Practice address

1735 Central Ave
McKinleyville, CA 95519-3601

Phone

(707) 839-4349

Fax

(707) 839-4124

NPI assigned

Jun 9, 2007

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)

Enrolled

State licenses

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1083817696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 CENTRAL AVE",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955193601",
            "telephone_number": "707-839-4349",
            "fax_number": "707-839-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 CENTRAL AVE",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955193601",
            "telephone_number": "707-839-4349",
            "fax_number": "707-839-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBUE",
        "first_name": "CHANTAL",
        "middle_name": "MADELEINE",
        "name_prefix": "Mrs.",
        "credential": "FNP/PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-09",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "13150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence G Johanson DDS, Inc.
• Holly Khristyne Lawrence
• Scott Lee Lemmon, PHARM.D.
• Tammy Liebl, RN
• Limas Professional Pharmacy
• Berit Ann Locatelli, M.A., CCC-SLP
• Toni Jane Loera, R.S.
• Ahmad Keenan Taj Logan
• Shoua Lor
• Lorissa J Lorenzo, PA-C

• Family Nurse Practitioner in McKinleyville, CA
• Providers in McKinleyville, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.