Active NPI
Specialty Healthcare
- Family Nurse Practitioner
- Blackstone, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- SPECIALTY HEALTHCARE
- Practice address
- 900 S Main St
Blackstone, VA 23824-2644 - Phone
- (804) 426-2742
- NPI assigned
- Sep 16, 2019
- Last updated
- Mar 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristle Chambers, NP
- Title
- NP/Owner
- Phone
- (804) 426-2742
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
900 S Main St
Blackstone, VA 23824-2644
Mailing address
PO Box 4595
Midlothian, VA 23112-0010
Phone (804) 426-2742
Other practice location 1
1575 Scott Dr
Farmville, VA 23901-2662
Phone (804) 426-2742
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Midlothian, VA
- NPI 1093197469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615161600000",
"number": "1144870809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4595",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231120010",
"telephone_number": "804-426-2742",
"fax_number": "804-282-9135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S MAIN ST",
"city": "BLACKSTONE",
"state": "VA",
"postal_code": "238242644",
"telephone_number": "804-426-2742"
}
],
"practiceLocations": [
{
"address_1": "1575 Scott Dr",
"address_purpose": "LOCATION",
"city": "Farmville",
"state": "VA",
"postal_code": "239012662",
"country_code": "US",
"telephone_number": "804-426-2742",
"fax_number": "804-282-9135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SPECIALTY HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-16",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A",
"authorized_official_last_name": "CHAMBERS",
"authorized_official_first_name": "KRISTLE",
"authorized_official_title_or_position": "NP/OWNER",
"authorized_official_telephone_number": "804-426-2742",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blackstone, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.