Individual provider Active NPI

Chie Jean Kupper, RNFA

  • Registered Nurse First Assistant
  • Dayton, OH
National Provider Identifier
1144455015
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN179415/NP02997 Issued in OH
Practice address
2200 Philadelphia Dr
Suite 101
Dayton, OH 45406-1840
Phone
(937) 277-8988
Fax
(937) 277-9035
NPI assigned
May 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN179415/NP02997 OH Primary

Addresses

Primary practice location

2200 Philadelphia Dr
Suite 101
Dayton, OH 45406-1840

Mailing address

2200 Philadelphia Dr
Suite 101
Dayton, OH 45406-1840
Phone (937) 277-8988

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

State licenses

LicenseStateTypeSpecialty
RN179415/NP02997OHMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestages - Samaritan Centers for Women LTD Past Accepting new patients
Davue OB/GYN Associates, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1144455015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PHILADELPHIA DR",
            "address_2": "SUITE 101",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061840",
            "telephone_number": "937-277-8988",
            "fax_number": "937-277-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PHILADELPHIA DR",
            "address_2": "SUITE 101",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061840",
            "telephone_number": "937-277-8988",
            "fax_number": "937-277-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPPER",
        "first_name": "CHIE",
        "middle_name": "JEAN",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "OH",
            "license": "RN179415/NP02997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.