Christin Cooper Chaney, NNP
Individual provider Active NPI Critical Care Neonatal Nurse Practitioner · Thomasville, NC
NPI 1104105337 · NPPES record last updated Nov 22, 2024
Key facts
- NPI
- 1104105337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Neonatal Nurse Practitioner 363LN0005X
- License
- 5005633 (NC)
- Practice address
- 207 Old Lexington Rd
Thomasville, NC 27360-3428 - Phone
- (336) 476-2725
- NPI assigned
- Aug 5, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130903000606 | NC | Practitioner - Nurse Practitioner | 1052587417 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5005633 | NC | MD | Nurse Practitioner |
| IN PROCESS | VA | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Frye Medical Group LLC | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| DLP Frye Medical Group LLC | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
415 N Center St
Hickory, NC 28601
Phone (828) 323-8281
915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005
415 N Center St
Ste 203
Hickory, NC 28601
Phone (828) 322-2005
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- cchaney694058@direct.conehealth.com
- cchaney146018@direct.novanthealth.org
- cchaney1015606@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5005633 | NC | |
| Neonatal Nurse Practitioner | 363LN0000X | IN PROCESS | VA | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | IN PROCESS | VA | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 5005633 | NC | Yes |
Addresses
Primary practice location
207 Old Lexington Rd
Thomasville, NC 27360-3428
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (364) 762-7253
Other practice location 1
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7796
Other practice location 2
4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone (919) 784-2676
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cchaney146018@direct.novanthealth.org | ||
| Direct Messaging Address | cchaney1015606@direct.UNC.nchie.net | Direct |
Other providers in Thomasville, NC
- Case Management Connection of the Triad, Inc.
- Cassandra Loeffler PLLC
- Ronnie Dean Casterlow
- Bradley Cecil
- Chair City Pharmacy Incorporated
- Maria Antonia Chavez-Hinon
- Joseph Edward Chestnut
- Kelly M Chisholm
- Shea Renee Chrismon
- Claudiu Adrian Cimpean
All providers in Thomasville, NC · Critical Care Neonatal Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.