Gwenevere Chew, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R637211 Issued in MS

Practice address

340 Desoto Avenue Ext
Clarksdale, MS 38614-2814

Phone

(662) 741-2151

Fax

(662) 741-2700

NPI assigned

May 13, 2008

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

Credentials

Nurse Practitioner

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.

• Delta Medical Group

  • Emergency Medicine Physician
  • Greenville, MS
  • NPI 1790701134
  NPD (past)
• Delta Physician Practices

  • Family Nurse Practitioner
  • Greenville, MS
  • NPI 1598086639

  Family

  NPD (past)
• J and R Chiropractic Inc.

  • Chiropractor
  • Cleveland, MS
  • NPI 1588868194
  NPD (past)
• Mississippi Visiting Physicians, LLC

  • Family Medicine Physician
  • Cleveland, MS
  • NPI 1679843676
  NPD (past)
• Natural Pain Back Institute, LLC

  • Chiropractor
  • Cleveland, MS
  • NPI 1144503673
  NPD (past)

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1104093723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SECURITY SQ",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071932",
            "telephone_number": "662-741-2151",
            "fax_number": "662-741-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 DESOTO AVENUE EXT",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386142814",
            "telephone_number": "662-741-2151",
            "fax_number": "662-741-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEW",
        "first_name": "GWENEVERE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R637211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Danielle Carter, M.D.
• Kathryn Carter, ATC, LAT
• Reba T Carter, MS
• Celestial Comfort Care Hospice
• Mary Haley Chaney, M.E.
• Children'S Acceleration Program, Inc
• Childrens Clinic of Clarksdale PA
• Matthew Joe Chow, D.M.D.
• Danielle Clark
• Clarksdale Hma

• All providers in Clarksdale, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.