Individual provider Active NPI

Stacey N Chalin, RN

  • School Registered Nurse
  • Harvey, LA
National Provider Identifier
1154088953
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
60145 Issued in LA
Practice address
501 Manhattan Boulevard
Harvey, LA 70058
Phone
(504) 349-7673
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 60145 LA Primary

Addresses

Primary practice location

501 Manhattan Boulevard
Harvey, LA 70058

Mailing address

501 Manhattan Blvd
Harvey, LA 70058-4443
Phone (504) 232-1105

Other practice location 1

822 S Clearview Pkwy
Harahan, LA 70123-3401
Phone (504) 736-7386

Other identifiers 1

IdentifierTypeStateIssuer
1701033MedicaidLA

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
60145LAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1154088953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MANHATTAN BLVD",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700584443",
            "telephone_number": "504-232-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MANHATTAN BOULEVARD",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "70058",
            "telephone_number": "504-349-7673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 S Clearview Pkwy",
            "address_purpose": "LOCATION",
            "city": "Harahan",
            "state": "LA",
            "postal_code": "701233401",
            "country_code": "US",
            "telephone_number": "504-736-7386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHALIN",
        "first_name": "STACEY",
        "middle_name": "N",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "LA",
            "license": "60145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1701033",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.