Jacqueline Ann Chase

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

CNA 148312 Issued in FL

Practice address

1419 Royal Saint George Dr
Orlando, FL 32828-8030

Phone

(407) 736-1842

NPI assigned

Apr 20, 2009

Last updated

Apr 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1114161254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 ROYAL SAINT GEORGE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288030",
            "telephone_number": "407-736-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 ROYAL SAINT GEORGE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288030",
            "telephone_number": "407-736-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "CNA 148312",
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "186785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Charrouf
• Chase Pediatric Therapy Services
• Chase Staffing Home Therapy LLC
• Annmarie Chase, RN
• Charles J Chase, DO
• Jennifer Rippard Chase, PT
• Linda Chase, M.S.,OTR/L
• Marian Coppo Chase, ARNP
• Patti J Chase
• Susan Chase, EDD

• Adult Companion in Orlando, FL
• Providers in Orlando, FL by specialty
• Adult Companion in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.