Active NPI
Karen Sue Chapman, CRNA
- Certified Registered Nurse Anesthetist
- Southbridge, MA
National Provider Identifier
1124101753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2277299
- Practice address
- 100 South St
Southbridge, MA 01550-4051 - Phone
- (508) 765-9771
- Fax
- (508) 765-2499
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 01902 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 2277299 | MA | Primary |
Addresses
Primary practice location
100 South St
Southbridge, MA 01550-4051
Mailing address
100 South St
Southbridge, MA 01550-4051
Phone (508) 765-9771
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0068937000 | Medicaid | WV | |
| 0766809 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150959 | OH | MD | Licensed Practical Nurse |
| 2277299 | MA | MD | Certified Registered Nurse Anesthetist |
| 01902 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Hospital Holding Company | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Steubenville, OH
- NPI 1285715144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1124101753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SOUTH ST",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015504051",
"telephone_number": "508-765-9771",
"fax_number": "508-765-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SOUTH ST",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015504051",
"telephone_number": "508-765-9771",
"fax_number": "508-765-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "KAREN",
"middle_name": "SUE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "01902",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "2277299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0068937000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0766809",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.