Active NPI
Denise Gisele Chivington, RPN
- Psychiatric/Mental Health Nurse Practitioner
- Toledo, OH
National Provider Identifier
1154411924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- COA.14343-NP
- Practice address
- 1425 Starr Ave
Toledo, OH 43605-2456 - Phone
- (419) 693-0631
- Fax
- (419) 936-7606
- NPI assigned
- Oct 13, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1094655 | AL | |
| Family Nurse Practitioner | 363LF0000X | 11278 | TN | |
| Family Nurse Practitioner | 363LF0000X | 177742 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | COA.14343-NP | OH | Primary |
| Family Nurse Practitioner | 363LF0000X | COA.14343-NP | OH |
Addresses
Primary practice location
1425 Starr Ave
Toledo, OH 43605-2456
Mailing address
1425 Starr Ave
Toledo, OH 43605-2456
Phone (419) 693-0631
Other names 1
- Ms. Denise Gisele Paul
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11278 | TN | MD | Physical Therapist |
| 1094655 | AL | MD | Family Nurse Practitioner |
| 177742 | GA | MD | Family Nurse Practitioner |
| COA.14343-NP | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthforce Corporation | 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.
-
- Family Medicine Physician
- Hixson, TN
- NPI 1205882529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1154411924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 STARR AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436052456",
"telephone_number": "419-693-0631",
"fax_number": "419-936-7606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 STARR AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436052456",
"telephone_number": "419-693-0631",
"fax_number": "419-936-7606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIVINGTON",
"first_name": "DENISE",
"middle_name": "GISELE",
"name_prefix": "Mrs.",
"credential": "RPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1094655",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "11278",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "177742",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "COA.14343-NP",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.14343-NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "PAUL",
"middle_name": "GISELE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.